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Organization

FAIRFAX PULMONARY CONSULTING LLC

Active
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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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