Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 0103000662 | VA |
NPI | 1023034907 |
---|---|
Provider Name | Edward S Pozarny |
First Address | Arlington, VA 22204 |
Second Address | Arlington, VA 22204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 05/01/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2533-0003 | BCBS DC (01) | |
T31251 | (02) |