Eastern Cranial Affiliates, Llc

NPI 1508954157

Information of Eastern Cranial Affiliates, Llc

The NPI 1508954157 is an Organization type. NPI No 1508954157 belongs to Eastern Cranial Affiliates, Llc. Eastern Cranial Affiliates, Llc specializes in Durable Medical Equipment & Medical Supplies. is practising at 10523 Main St, Fairfax, Virginia 22030. You can also contact him via phone number (703) 807-5899.

Practice address located

  • 10523 Main St
  • Fairfax, Virginia 22030
  • (703) 807-5899
  • (703) 807-5899

Mailling address located

  • 10523 Main St
  • Fairfax, Virginia 22030
  • (703) 807-5899
  • (703) 807-1183
Eastern Cranial Affiliates, Llc is PECOS enrolled.
NPI No 1508954157
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes332B00000XDurable Medical Equipment & Medical Suppliesn/aVirginia
Identifier for this provider
StateIdentifierTypeIssuer
VA288615OtherANTHEM
VA4799160001Medicare ID-Type Unspecifiedn/a
VAH933OtherBCBS
VA009190121Medicaidn/a
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