Provider Demographics
NPI:1669896163
Name:NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES
Entity type:Organization
Organization Name:NORTHERN VIRGINIA PELVIC SURGERY ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BICHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:571-308-1830
Mailing Address - Street 1:9905 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE 303
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6361
Mailing Address - Country:US
Mailing Address - Phone:571-308-1830
Mailing Address - Fax:571-308-1843
Practice Address - Street 1:9905 MEDICAL CENTER DR
Practice Address - Street 2:SUITE 303
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6361
Practice Address - Country:US
Practice Address - Phone:571-308-1830
Practice Address - Fax:571-308-1843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA616754OtherMEDICARE ID-TYPE UNSPECIFIED