Provider Demographics
NPI:1497717250
Name:HERRERA, ALBERT A (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:A
Last Name:HERRERA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7764 ARMISTEAD ROAD
Mailing Address - Street 2:SUITE 240
Mailing Address - City:LORTON
Mailing Address - State:VA
Mailing Address - Zip Code:22079
Mailing Address - Country:US
Mailing Address - Phone:703-780-2800
Mailing Address - Fax:703-780-0461
Practice Address - Street 1:8109 HINSON FARM ROAD
Practice Address - Street 2:SUITE 504
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306
Practice Address - Country:US
Practice Address - Phone:703-780-2800
Practice Address - Fax:703-780-0461
Is Sole Proprietor?:No
Enumeration Date:2006-04-05
Last Update Date:2012-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101043997207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC575979M75Medicare UPIN
VA00X172M03Medicare UPIN