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WOODBURN ENDOSCOPY CENTER PLLC NPI 1477694396


NPI Information

NPI: 1477694396
Provider Name: WOODBURN ENDOSCOPY CENTER, PLLC
Classification: Legal Medicine - 173000000X
Entity Type: Organization

CLIA Number: 49D1060652

Address:
3301 WOODBURN RD
SUITE 109
ANNANDALE, VA
ZIP 22003
Phone: (703) 752-2557
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WOODBURN ENDOSCOPY CENTER, PLLC is a legal medicine in Annandale, VA. The provider is the specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. WOODBURN ENDOSCOPY CENTER, PLLC NPI is 1477694396. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3301 WOODBURN RD
SUITE 109
ANNANDALE, VA
ZIP 22003-229
Phone: (703) 752-2557

The provider's authorized official is Stafford S Goldstein .
The authorized official title is Physician and has the following contact phone number (703) 876-0437.

The CLIA number assigned to this NPI record is 49D1060652 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1173000000XLegal MedicineVIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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