Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 0101023193 | VA |
NPI | 1154398378 |
---|---|
Provider Name | Antonio J. Cachay |
First Address | Annandale, VA 22003-6800 |
Second Address | Annandale, VA 22003-6800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2006 |
Last Update Date | 08/07/2007 |