Astor, William Matthew

Astor, William Matthew is an individual health care provider with primary practice located at 2722 Merrilee Dr Ste 230, Fairfax VA 22031-4420. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Astor, William Matthew can be contacted via phone (703) 698-4444.

Contact Information

Primary practice address
2722 Merrilee Dr Ste 230 Fairfax VA 22031-4420
Phone: (703) 698-4444
Fax: (703) 204-0116
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 0101250928 Virginia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D0087633 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101250928 Virginia

Profile Details

NPI number 1396915237
LBN Legal business name Astor, William Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Jan 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396915237 NPPES
Virginia Other 0122 BLUECROSS BLUESHIELD
Virginia MEDICAID 3810020391 BLUECROSS BLUESHIELD

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