Most Relevant Information
Provider Data
| NPI Number: | 1003822149 |
| Provider Name: | ALEXANDER-NICHOLAS DESIERTO SUTINGCO MD FACEP |
| Entity Type: | Individual |
| Taxonomy Code: | 207PE0004X |
| Specialty: | Emergency Medicine |
| License Number: | 0101237771 |
Most Important Dates
| Enumeration Date: | 07/31/2006 |
| Last Updated: | 03/13/2012 |
Provider Practice Location
500 HOSPITAL DR
WARRENTON
VA
201863027
Practice Location Phone/Fax
| Phone: | 5403490595 |
| Fax: | 5403490587 |
Provider Mailing Location
PO BOX 223323
CHANTILLY
VA
201533323
Provider Mailing Phone/Fax
| Phone: | 5403490595 |
| Fax: |