Specialty Physicians of Northern Virginia, LLC

NPI #1114157054 in Dulles, Virginia

Provider Information

NPI Number: 1114157054
Entity Type: Organization
Organization Name: Specialty Physicians of Northern Virginia, LLC
Primary Specialty: Surgery
Enumeration Date: Jul 24, 2009
Last Updated: Nov 20, 2025

Practice Location

Address: 24430 STONE SPRINGS BLVD
City: Dulles
State: Virginia
ZIP Code: 20166-2267
Phone: (703) 665-2430

Authorized Official

Name: SUZANNE BERGAMO
Title: VP
Phone: (804) 267-5950

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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