Whalio Doctors

NPI 1003949330

Thomas John Luckey, MD

Practitioner Emergency Medicine Physician Manassas, VA

Practice location

Address
8700 Sudley Rd, Manassas, VA 20110-4418
Phone
(703) 369-8337
Mailing address
20010 Century Blvd STE 200, Germantown, MD 20874-1115

Registered specialties (2)

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 0101243613 (VA)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence MD436552 (PA)

Registry record

NPI
1003949330
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Mar 2007
Record last updated
2 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.