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Organization
ENT & ALLERGY SPECIALISTS OF VIRGINIA PC
Active
Organization
ENT & ALLERGY SPECIALISTS OF VIRGINIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES JAY LEE M.D. (PRESIDENT)
(703) 723-8727
Entity
Organization
Contact information
Practice address
44320 PREMIER PLZ, SUITE 110, ASHBURN, VA 20147-5076
(703) 723-8727
(703) 723-9787
Mailing address
44320 PREMIER PLZ, SUITE 110, ASHBURN, VA 20147-5076
(703) 723-8727
(703) 723-9787
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
0101242747
VA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
0101237837
VA
Other
Enumeration date
01/27/2008
Last updated
01/23/2009
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