Individual
MR. ILAN BREIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1625 N GEORGE MASON DR, ARLINGTON, VA 22205-3683
(703) 842-4188
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110-007005
VA
363AS0400X
Surgical Physician Assistant
C0006368
MD
Other
Enumeration date
07/30/2015
Last updated
11/04/2024
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