Provider Demographics
NPI:1639346430
Name:PULMONARY PHYSICIANS OF LOUDOUN PLC
Entity Type:Organization
Organization Name:PULMONARY PHYSICIANS OF LOUDOUN PLC
Other - Org Name:RICHARD ROSENTHAL MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-729-8222
Mailing Address - Street 1:44125 WOODRIDGE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-6839
Mailing Address - Country:US
Mailing Address - Phone:703-729-8222
Mailing Address - Fax:703-729-8221
Practice Address - Street 1:44125 WOODRIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-6839
Practice Address - Country:US
Practice Address - Phone:703-729-8222
Practice Address - Fax:703-729-8221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101045165207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACH6801OtherRAILROAD MEDICARE
VACH6801OtherRAILROAD MEDICARE