Provider Demographics
NPI:1952487142
Name:NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC PC
Entity Type:Organization
Organization Name:NORTHERN VIRGINIA PULMONARY & CRITICAL CARE ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:P
Authorized Official - Last Name:LAMBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-641-8616
Mailing Address - Street 1:3289 WOODBURN RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003
Mailing Address - Country:US
Mailing Address - Phone:703-641-8616
Mailing Address - Fax:703-641-9468
Practice Address - Street 1:3289 WOODBURN ROAD
Practice Address - Street 2:350
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003
Practice Address - Country:US
Practice Address - Phone:703-641-8616
Practice Address - Fax:703-641-9468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2007-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
119005Medicare ID - Type Unspecified