Individual
OCTAVIAN CORNEL MUNTEANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20405 GRACEFORD TER, ASHBURN, VA 20147-5616
(571) 212-4931
Mailing address
20405 GRACEFORD TER, ASHBURN, VA 20147-5616
(571) 212-4931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009021
VA
Other
Enumeration date
01/09/2022
Last updated
05/22/2025
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