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Organization
ASSOCIATES IN OTOLARYNGOLOGY HEAD AND NECK SURGERY
Active
Organization
ASSOCIATES IN OTOLARYNGOLOGY HEAD AND NECK SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAY NATHAN M.D. (DOCTOR)
(703) 313-0373
Entity
Organization
Contact information
Practice address
6355 WALKER LN, SUITE 411, ALEXANDRIA, VA 22310-3245
(703) 313-0373
(703) 719-0400
Mailing address
6355 WALKER LN, SUITE 411, ALEXANDRIA, VA 22310-3245
(703) 313-0373
(703) 719-0400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/01/2006
Last updated
08/22/2020
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