Doctor Name: | JONATHAN P. GASPAR |
NPI Number: | 1174744429 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | |
Business Practice Address: | 3028 Javier Rd Suite 300 Fairfax, VA - 220314622 |
Business Phone Number: | 7036988960 |
Business Fax Number: | 7036418427 |
Mailing Address: | 3700 Joseph Siewick Dr 308, FAIRFAX |
State: | VA |
Postal Code: | 220331739 |
Phone Number: | 7036988960 |
Fax Number: | 7037168703 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 07/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |