Provider Demographics
NPI:1003832023
Name:MCCABE, THOMAS AMBROSE (MD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:AMBROSE
Last Name:MCCABE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC. PC
Mailing Address - Street 2:3289 WOODBURN ROAD, 350
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-641-8616
Mailing Address - Fax:703-641-9468
Practice Address - Street 1:NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC. PC
Practice Address - Street 2:3289 WOODBURN ROAD, 350
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-641-8616
Practice Address - Fax:703-641-9468
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101028403207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Not Answered207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
119005Medicare ID - Type Unspecified
C61672Medicare UPIN