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Individual

DR. EDWARD CHARLES RABBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6355 WALKER LN, SUITE 501, ALEXANDRIA, VA 22310-3245
(703) 765-4321
(703) 971-0958
Mailing address
6355 WALKER LN, SUITE 501, ALEXANDRIA, VA 22310-3245
(703) 765-4321
(703) 971-0958

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0101036585
VA
207X00000X
Orthopaedic Surgery Physician
Primary
D0030644
MD
207X00000X
Orthopaedic Surgery Physician
MD14460
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
200028366
RAILROAD MEDICARE
MD
05
342721800
MD
01
39689
MDIPA/OPT CH/MAMSI PROV#
01
419539
CAREFIRST MARYLAND PROV#
MD
01
46950005
CAREFIRST NCA
DC
Enumeration date
07/05/2006
Last updated
03/22/2012
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