Individual
DR. JASSER THIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13890 BRADDOCK RD STE 201, CENTREVILLE, VA 20121-2437
(203) 673-9656
(571) 526-5598
Mailing address
13890 BRADDOCK RD STE 201, CENTREVILLE, VA 20121-2437
(203) 673-9656
(571) 526-5598
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101250955
VA
Other
Enumeration date
10/08/2008
Last updated
01/09/2023
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