1861553430 NPI number — THE MUASHER CENTER FOR FERTILITY AND IVF

Table of content: (NPI 1861553430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861553430 NPI number — THE MUASHER CENTER FOR FERTILITY AND IVF

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE MUASHER CENTER FOR FERTILITY AND IVF
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PARTNERS FOR FERTILITY AND IVF
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861553430
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8501 ARLINGTON BLVD
Provider Second Line Business Mailing Address:
SUITE 500
Provider Business Mailing Address City Name:
FAIRFAX
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22031-4617
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-449-0400
Provider Business Mailing Address Fax Number:
866-696-6573

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8501 ARLINGTON BLVD
Provider Second Line Business Practice Location Address:
SUITE 500
Provider Business Practice Location Address City Name:
FAIRFAX
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22031-4617
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-876-6311
Provider Business Practice Location Address Fax Number:
703-876-6317
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DURSO
Authorized Official First Name:
NANCY
Authorized Official Middle Name:
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
703-876-6311

Provider Taxonomy Codes

  • Taxonomy code: 207VE0102X , with the licence number:  0101035772 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 104587 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 3496374 . This is a "AETNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 415255 . This is a "ALLIANCE" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 1395814 . This is a "CIGNA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: J5120001 . This is a "DC CAREFIRST" identifier , issued by the state of ( DC ) . This identifiers is of the category "OTHER".




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