Provider Demographics
NPI:1508838301
Name:TLC OB-GYN PC
Entity Type:Organization
Organization Name:TLC OB-GYN PC
Other - Org Name:GA ROSSI MD MH LOEWITH MD & JAE PINESS MD PC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GUSTAVO
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSSI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-516-9600
Mailing Address - Street 1:1635 N GEORGE MASON DR
Mailing Address - Street 2:STE 185
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205
Mailing Address - Country:US
Mailing Address - Phone:703-516-9600
Mailing Address - Fax:703-516-9053
Practice Address - Street 1:1635 N GEORGE MASON DR
Practice Address - Street 2:STE 185
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205
Practice Address - Country:US
Practice Address - Phone:703-516-9600
Practice Address - Fax:703-516-9053
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty