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Pediatric Otolaryngology Physician

NPI: 1487233805Individual

Specialties, Licenses & Credentials

Student in an Organized Health Care Education/Training Program

Student in an Organized Health Care Education/Training Program

Code: 390200000X

Pediatric Otolaryngology PhysicianPrimary

Otolaryngology — Pediatric Otolaryngology

Code: 207YP0228X

0110009393(VA)

Contact & Hours

Via practice · 2 locations total

Address
3801 UNIVERSITY DR, 2ND FLOOR
FAIRFAX, VA 22030

Quick Facts

NPI
1487233805
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
2

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