Provider Demographics
NPI:1265512024
Name:EDWARD S. POZARNY
Entity Type:Organization
Organization Name:EDWARD S. POZARNY
Other - Org Name:ARLINGTON PODIATRY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:POZARNY
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:703-820-1472
Mailing Address - Street 1:611 S CARLIN SPRINGS ROAD
Mailing Address - Street 2:SUITE 512
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22204
Mailing Address - Country:US
Mailing Address - Phone:703-820-1472
Mailing Address - Fax:703-820-3173
Practice Address - Street 1:611 S CARLIN SPRINGS ROAD
Practice Address - Street 2:SUITE 512
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22204
Practice Address - Country:US
Practice Address - Phone:703-820-1472
Practice Address - Fax:703-820-3173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2533OtherCAREFIRST BCBS
0990630001Medicare NSC
169114Medicare PIN
2533OtherCAREFIRST BCBS