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Individual

STEFANO FRANCO AGOLINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4660 KENMORE AVE, SUITE 419, ALEXANDRIA, VA 22304-1313
(703) 823-4066
(703) 823-4067
Mailing address
2207 N LEXINGTON ST, ARLINGTON, VA 22205-3235
(703) 823-4066
(703) 823-4067

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101057385
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1467475822
CORPORATE NPI
Enumeration date
01/22/2007
Last updated
07/08/2007
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