Provider Demographics
NPI:1487608972
Name:GENERAL SURGERY SPECIALISTS PLC
Entity type:Organization
Organization Name:GENERAL SURGERY SPECIALISTS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARFING
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:540-722-3595
Mailing Address - Street 1:1870 AMHERST ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2873
Mailing Address - Country:US
Mailing Address - Phone:540-722-3595
Mailing Address - Fax:540-667-3068
Practice Address - Street 1:1870 AMHERST ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2873
Practice Address - Country:US
Practice Address - Phone:540-722-3595
Practice Address - Fax:540-667-3068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC06150Medicare ID - Type UnspecifiedMEDICARE ID NUMBER