Provider Demographics
NPI:1720088941
Name:ARAM ORTHOPAEDICS, P.C.
Entity Type:Organization
Organization Name:ARAM ORTHOPAEDICS, P.C.
Other - Org Name:ADVANCED ORTHOPAEDICS & SPORTS MEDICINE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:N
Authorized Official - Last Name:ARAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PC
Authorized Official - Phone:703-648-3100
Mailing Address - Street 1:3930 PENDER DR
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-0985
Mailing Address - Country:US
Mailing Address - Phone:703-648-3100
Mailing Address - Fax:703-648-3830
Practice Address - Street 1:3930 PENDER DR
Practice Address - Street 2:SUITE 210
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-0985
Practice Address - Country:US
Practice Address - Phone:703-648-3100
Practice Address - Fax:703-648-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-29
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101055587207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAPTAN-DB4784OtherMEDICARE RAILROAD
VAPTAN-6603780001OtherMEDICARE NSC
VAPTAN-DB4784OtherMEDICARE RAILROAD