Provider Demographics
NPI:1538229497
Name:ALLINGHAM, DAVID GEOFFREY JR (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GEOFFREY
Last Name:ALLINGHAM
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2915 HUNTER MILL RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-1716
Mailing Address - Country:US
Mailing Address - Phone:703-255-1190
Mailing Address - Fax:703-255-1193
Practice Address - Street 1:14087 RICHMOND HWY STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2171
Practice Address - Country:US
Practice Address - Phone:571-300-8000
Practice Address - Fax:571-300-0001
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2023-06-14
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Provider Licenses
StateLicense IDTaxonomies
VA0101046274146D00000X, 207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAE71179Medicare UPIN
VA463168Medicare PIN
VA463168Medicare ID - Type Unspecified