Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 0101239086 | VA |
NPI | 1023050010 |
---|---|
Provider Name | Anh D. Vu |
First Address | Fredricksburg, VA 22408-8709 |
Second Address | Fredricksburg, VA 22408-8709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 26/12/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5901249 | (05) | VA |
I33817 | (02) | DC |
I33817 | (02) | VA |