Whalio Doctors

NPI 1033182712

Brian T Fogarty, MD

Practitioner Diagnostic Radiology Physician Manassas, VA

Practice location

Address
8700 Sudley Rd, Manassas, VA 20110-4418
Phone
(703) 369-8073
Fax
(703) 369-8032
Mailing address
PO Box 9007, Charlottesville, VA 22906-9007

Registered specialties

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 0101263445 (VA)

Registry record

NPI
1033182712
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Feb 2006
Record last updated
16 Aug 2019

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.