Byung-boong Lee, | |
1830 Town Center Dr, Suite 420, Reston, VA 20190-3292 | |
(703) 880-9500 | |
Not Available |
Full Name | Byung-boong Lee |
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Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 1830 Town Center Dr, Reston, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689602583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 0101023617 (Virginia) | Primary |
Entity Name | Medical Faculty Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417990581 PECOS PAC ID: 4082528898 Enrollment ID: O20031117000341 |
Mailing Address | Practice Location Address |
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Byung-boong Lee, Po Box 631856, Baltimore, MD 21263-1856 Ph: () - | Byung-boong Lee, 1830 Town Center Dr, Suite 420, Reston, VA 20190-3292 Ph: (703) 880-9500 |
Dr. Karim Sami Trad, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Drive, Suite 218, Reston, VA 20190 Phone: 703-796-0370 Fax: 703-796-0373 | |
Dr. Elizabeth D Feldman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr Ste 460, Reston, VA 20190 Phone: 032-089-3957 Fax: 703-437-6549 | |
Dr. Bruce M Freedman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1800 Town Center Dr, Ste 413, Reston, VA 20190 Phone: 703-790-5700 Fax: 703-827-8730 | |
Matthew A Fitzer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850a Town Center Pkwy, Suite 301, Reston, VA 20190 Phone: 703-709-9701 Fax: 703-709-8084 | |
Dr. Timothy Roddy Shaver, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1860 Town Center Dr Ste 440, Reston, VA 20190 Phone: 571-554-8950 Fax: 571-554-8951 | |
Dr. Brett Allen Sachse, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1830 Town Center Dr, Suite 102, Reston, VA 20190 Phone: 571-512-5300 Fax: 571-699-0445 | |
Robert Stephen Podolsky, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 12005 Sunrise Valley Drive, Suite 120, Reston, VA 20191 Phone: 571-375-7174 Fax: 571-375-7177 |