Provider Demographics
NPI:1396504247
Name:VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
Entity type:Organization
Organization Name:VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-558-5000
Mailing Address - Street 1:1635 N GEORGE MASON DR STE 430
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3617
Mailing Address - Country:US
Mailing Address - Phone:703-842-4188
Mailing Address - Fax:703-647-1074
Practice Address - Street 1:1635 N GEORGE MASON DR STE 430
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3617
Practice Address - Country:US
Practice Address - Phone:703-842-4188
Practice Address - Fax:703-647-1074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Multi-Specialty