Provider Demographics
NPI:1639511504
Name:VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
Entity Type:Organization
Organization Name:VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP, LLC
Other - Org Name:VIRGINIA HOSPITAL CENTER PHYSICIAN GROUP - UROLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZABROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-558-5000
Mailing Address - Street 1:1625 N GEORGE MASON DR STE 454
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3684
Mailing Address - Country:US
Mailing Address - Phone:703-717-4200
Mailing Address - Fax:703-717-4201
Practice Address - Street 1:1625 N GEORGE MASON DR STE 454
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3684
Practice Address - Country:US
Practice Address - Phone:703-717-4200
Practice Address - Fax:703-717-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-22
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty