Ilan Breit, PA-C
Physician Assistant, Surgical in Arlington, VA. Individual provider (NPI-1).
NPI number1104201201
StatusActive
Last updated in NPPESNov 4, 2024
Details
- NPI
- 1104201201
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ilan Breit
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2015
- Certification date
- Nov 4, 2024
- Last updated
- Nov 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 0110-007005 | VA | Yes |
| 363AS0400X | Physician Assistant, Surgical | C0006368 | MD |
Practice location
1625 N George Mason DrArlington, VA 22205-3683
Phone 703-842-4188
Mailing address
6201 Greenleigh Ave Fl 2Middle River, MD 21220-2004
Phone 410-933-2704
Other practice locations
1800 Orleans St
Baltimore, MD 21287-0010
Baltimore, MD 21287-0010
Phone 410-955-8893
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