Provider Demographics
NPI:1497224653
Name:SUCHAR, ALYSSA M (PA)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:M
Last Name:SUCHAR
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:5201 GARNER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151-2902
Mailing Address - Country:US
Mailing Address - Phone:571-212-0992
Mailing Address - Fax:
Practice Address - Street 1:3300 GALLOWS RD
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-3307
Practice Address - Country:US
Practice Address - Phone:703-776-4001
Practice Address - Fax:703-776-7113
Is Sole Proprietor?:No
Enumeration Date:2018-11-17
Last Update Date:2021-12-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0110006367363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant