Organization
FAIRFAX PULMONARY CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ONEIL DIMITRY WILLIAMS MD (MEMBER)
(703) 957-9119
Entity
Organization
Contact information
Practice address
880 N POLLARD ST, #501, ARLINGTON, VA 22203-1738
(703) 957-9119
Mailing address
880 N POLLARD ST, #501, ARLINGTON, VA 22203-1738
(703) 957-9119
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0116019977
VA
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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