| Organization Name: | VASCULAR ASSOCIATES OF NORTHERN VIRGINIA PC |
| NPI Number: | 1063502169 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT STEPHEN PODOLSKY (PHYSICIAN PRESIDENT) |
| Mailing Address: | 1760 Reston Parkway Suite 306 Reston |
| State: | VA US |
| Postal Code: | 201903359 |
| Phone Number: | 7037097610 |
| Fax Number: | 7037097988 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 04/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 0101055000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |