# JAN PAUL FRUITERMAN MD & ASSOCIATES, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710044706
- **Authorized official:** DR. JAN PAUL FRUITERMAN MD (PRESIDENT)
- **Authorized official phone:** (703) 425-5100

## Contact information

- **Practice address:** 13880 BRADDOCK RD STE 307, CENTREVILLE, VA 20121-2462
- **Practice address phone:** (703) 425-5100
- **Practice address fax:** (703) 425-8803
- **Mailing address:** 13880 BRADDOCK ROAD, SUITE 307, CENTREVILLE, VA 20121-2438
- **Mailing address phone:** (703) 425-5100
- **Mailing address fax:** (703) 425-8803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 0101029267 | MD | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 08/22/2020