Provider Demographics
NPI:1710013347
Name:ADVANCED WEIGHT LOSS SOLUTIONS, P.C.
Entity Type:Organization
Organization Name:ADVANCED WEIGHT LOSS SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:D
Authorized Official - Last Name:PINNAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-639-5529
Mailing Address - Street 1:1850A TOWN CENTER PKWY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-5851
Mailing Address - Country:US
Mailing Address - Phone:703-639-5529
Mailing Address - Fax:703-709-8084
Practice Address - Street 1:1850A TOWN CENTER PKWY
Practice Address - Street 2:SUITE 301
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-5851
Practice Address - Country:US
Practice Address - Phone:703-639-5529
Practice Address - Fax:703-709-8084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAMD060241-L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty