Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 0101028403 | VA |
N | 207RP1001X | Pulmonary Disease | 0101028403 | VA |
NPI | 1003832023 |
---|---|
Provider Name | Thomas Ambrose Mccabe |
First Address | Annandale, VA 22003 |
Second Address | Annandale, VA 22003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C61672 | (02) |