Marlene M. Piccio-Azarcon,MD,PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

0101037793 Issued in VA

Legal business name

MARLENE M. PICCIO-AZARCON,MD,PC

Practice address

2616 Sherwood Hall LN
Ste. 402
Alexandria, VA 22306-3100

Phone

(703) 799-7308

Fax

(703) 778-8300

NPI assigned

Dec 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Guarino Azarcon

Title

Administrator

Phone

(703) 799-7308

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1366625261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "STE. 402",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-799-7308",
            "fax_number": "703-778-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 SHERWOOD HALL LN",
            "address_2": "STE. 402",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063100",
            "telephone_number": "703-799-7308",
            "fax_number": "703-778-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLENE M. PICCIO-AZARCON,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "AZARCON",
        "authorized_official_first_name": "GUARINO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-799-7308"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101037793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael A Marino, OTR/L
• Mark E Golub DDS PLC
• Mark J. Schefkind, M.D., P.C.
• Sam Mark, D.P.M.
• Marlene Garcia
• Lori Marlowe
• Ashley Marquez Villatoro
• Hugh King Marr, PH.D., L.P.C.
• Whitney Marris, LCSW
• Jillian Marshall, LCSW

• Pediatric Adolescent Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Pediatric Adolescent Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.