Fair Oaks Urology, L.l.c.

NPI #1982140687 in Fairfax, Virginia

Provider Information

NPI Number: 1982140687
Entity Type: Organization
Organization Name: Fair Oaks Urology, L.l.c.
Primary Specialty: Specialist
Enumeration Date: Jan 18, 2017
Last Updated: Jan 2, 2018

Practice Location

Address: 3700 JOSEPH SIEWICK DR STE 101
City: Fairfax
State: Virginia
ZIP Code: 22033-1737
Phone: (703) 698-1856

Authorized Official

Name: DR. ANTHONY R VARA, M.D.
Title: PHYSICIAN
Phone: (703) 698-1856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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