Search › Virginia › 363A00000X
Sean Mcdonough, PA
NPI 1700418175 · on the registry since 2020 · sole proprietor
Practice
- Address
- 8100 Innovation Park Dr # 110
Fairfax, VA 22031 - Phone
- (703) 970-6464
- Fax
- (571) 414-6941
- Clinicians at this address
- 2
Additional practice sites
- 6916 61st Dr, Middle Village, NY
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia