Endocrinology And Infectious | |
21475 Ridgetop Cir Ste 350 Sterling VA 20166-6580 | |
(703) 430-6211 | |
(703) 430-1414 |
Full Name | Endocrinology And Infectious |
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Speciality | Internal Medicine |
Location | 21475 Ridgetop Cir Ste 350, Sterling, Virginia |
Authorized Official Name and Position | Antonio Pastor (PRESIDENT) |
Authorized Official Contact | 7034306211 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Endocrinology And Infectious 6035 Burke Centre Pkwy Burke VA 22015-3750 Ph: (703) 978-1196 | Endocrinology And Infectious 21475 Ridgetop Cir Ste 350 Sterling VA 20166-6580 Ph: (703) 430-6211 |
NPI Number | 1609074459 |
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Provider Enumeration Date | 07/03/2007 |
Last Update Date | 08/06/2014 |
Medicare PECOS PAC ID | 7416908850 |
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Medicare Enrollment ID | O20050203000075 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609074459 | NPI | - | NPPES |
CK5247 | Other | MEDICARE, RAILROAD |
Provider Name | Antonio Pastor |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1912120056 PECOS PAC ID: 8224089669 Enrollment ID: I20050203000115 |
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