Provider Demographics
NPI:1821238775
Name:NORTHERN VIRGINIA ALLERGY AND ASTHMA ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NORTHERN VIRGINIA ALLERGY AND ASTHMA ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALVA
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-534-5500
Mailing Address - Street 1:6305 CASTLE PL
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-1905
Mailing Address - Country:US
Mailing Address - Phone:703-778-8201
Mailing Address - Fax:703-778-8202
Practice Address - Street 1:6355 WALKER LN
Practice Address - Street 2:SUITE 305
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3245
Practice Address - Country:US
Practice Address - Phone:703-778-8201
Practice Address - Fax:703-778-8202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTHERN VIRGINIA ALLERGY AND ASTHMA ASSOCIATES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-04
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty