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Associates In Otolaryngology Head And Neck Surgery

Otolaryngology in Alexandria, VA. Organization (NPI-2).

NPI number1306939699
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1306939699
Entity type
Organization (NPI-2)
Legal business name
Associates In Otolaryngology Head And Neck Surgery
Organization subpart
No
Enumeration date
Oct 1, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology––Yes

Practice location

6355 Walker Ln
Suite 411
Alexandria, VA 22310-3245

Phone 703-313-0373 · Fax 703-719-0400

Mailing address

6355 Walker Ln
Suite 411
Alexandria, VA 22310-3245

Phone 703-313-0373 · Fax 703-719-0400

Authorized official

Michael Jay Nathan
Doctor
7033130373

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