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Organization
CNMC
Active
Organization
CNMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX COPPES MD (MD)
(202) 476-5000
Entity
Organization
Contact information
Practice address
8301 ARLINGTON BLVD, SUITE 209, FAIRFAX, VA 22031-2902
(703) 876-9111
(703) 698-8338
Mailing address
8301 ARLINGTON BLVD, SUITE 209, FAIRFAX, VA 22031-2902
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
0101242846
VA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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