Organization Name: | DOMINION CARDIOVASCULAR ASSOCIATES, P.C. |
NPI Number: | 1619236304 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUN ANTHONY VENTURA QUION (PRESIDENT) |
Mailing Address: | 12710 Darby Brook Ct Lake Ridge |
State: | VA US |
Postal Code: | 221922486 |
Phone Number: | 7034964190 |
Fax Number: | 8662396997 |
NPI Enumeration Date: | 05/15/2012 |
NPI Last Update Date: | 10/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 0101058310 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |