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Individual

DR. GEORGE DAMON GANTSOUDES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
410 MAPLE AVE W STE 5, VIENNA, VA 22180-4224
(646) 240-9444
Mailing address
3023 HAMAKER CT STE 500, FAIRFAX, VA 22031-2241
(703) 876-2788

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101257854
VA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
0101257854
VA
207XP3100X
Pediatric Orthopaedic Surgery Physician
MD043693
DC

Other

Enumeration date
07/30/2008
Last updated
01/23/2026
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