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Individual

PAUL T GAVARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4910 MASSACHUSETTS AVE NW, STE 21, WASHINGTON, DC 20016-4300
(202) 686-0239
(202) 686-0925
Mailing address
4910 MASSACHUSETTS AVE NW, STE 21, WASHINGTON, DC 20016-4300
(202) 686-0239
(202) 686-0925

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101022547
VA
207W00000X
Ophthalmology Physician
D0017297
MD
207W00000X
Ophthalmology Physician
Primary
MD4319
DC

Other

Enumeration date
10/17/2005
Last updated
07/08/2007
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