Provider Demographics
NPI:1841569043
Name:ARTHRITIS AND OSTEOPOROSIS CENTER OF FAIRFAX PC
Entity Type:Organization
Organization Name:ARTHRITIS AND OSTEOPOROSIS CENTER OF FAIRFAX PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-573-2220
Mailing Address - Street 1:3027 JAVIER RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4652
Mailing Address - Country:US
Mailing Address - Phone:703-573-2220
Mailing Address - Fax:703-573-7767
Practice Address - Street 1:3027 JAVIER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4652
Practice Address - Country:US
Practice Address - Phone:703-573-2220
Practice Address - Fax:703-573-7767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-19
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101249525207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty