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Individual

DR. ABDUS SALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3300 GALLOWS ROAD, FALLS CHURCH, VA 22042
(703) 776-1110
Mailing address
11150 FAIRFAX BLVD., SUITE 501, FAIRFAX, VA 22030
(703) 691-2516
(703) 691-3526

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101238236
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010186935
VA
Enumeration date
12/16/2005
Last updated
01/26/2009
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