Individual ProviderStuart HenochowiczInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address6035 Burke Centre Pkwy, Suite 120, Burke, VA 22015-3750(703) 425-6010PECOS EnrollmentBased on the most recent information from CMS, provider Stuart Henochowicz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:46 AM.Profile DetailsProvider ID1902818925Provider TypeIndividualFull NameHenochowicz, StuartTitleDr.CredentialM.D., M.B.A., FACPGenderMaleSole ProprietorNoEnumeration Date8/12/2006Last Updated1/3/2011Contact InformationPractice LocationPractice Address6035 Burke Centre Pkwy, Suite 120, Burke, VA 22015-3750Phone(703) 425-6010Fax(703) 425-7504Mailing LocationMailing Address6035 Burke Centre Pkwy, Suite 120, Burke, VA 22015-3750Phone(703) 425-6010Fax(703) 425-7504Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101043840VirginiaCode207K00000XDescriptionAllergy & ImmunologyAllopathic & Osteopathic PhysiciansLicense0101043840Virginia