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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLYLE FAIRFAX HOOFF CASELLA, PA

Active

CARLYLE FAIRFAX HOOFF CASELLA, PA is a Physician Assistant healthcare provider located in WOODBRIDGE, Virginia. NPI 1679881486 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WOODBRIDGE, VA

Registration Details

NPI Number
1679881486
Provider Type
Individual
Gender
Female
NPI Issued
Sep 15, 2010 (15.881828106212 yrs)
Last Updated
Apr 13, 2017
Licenses
PA0000002616 (TN)
0110005347 (VA)

Practice Information

Address
14010 SMOKETOWN RD
SUITE 117
WOODBRIDGE, VA, 221924722
Browse VA providers · Browse ZIP 22192
Phone
7035800181
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WOODBRIDGE, VA

Name Credential NPI
CASSANDRA J VAZQUEZ PA-C 1043282676
SEAN T ROBINSON PA 1164487187
TAIRY ADAMS JOHNSON P.A.-C 1063468890
MS. ELIZABETH GALLAGHER PA 1427116326
SOHAIL SAFDARI PA-C 1518000793
MRS. KRISTIN MARIE JEROME CLARK PA-C 1528291069
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.