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Organization

MALGORZATA GRADZKA, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MALGORZATA GRADZKA M.D. (PRESIDENT)
(703) 648-9800
Entity
Organization

Contact information

Practice address
3620 JOSEPH SIEWICK DR, SUITE 401, FAIRFAX, VA 22033-1756
(703) 648-9800
(703) 648-9808
Mailing address
PO BOX 34, CABIN JOHN, MD 20818-0034
(703) 648-9800
(703) 648-9808

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101056754
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005853940
VA
Enumeration date
10/18/2006
Last updated
11/03/2009
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