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Individual

DR. RICHARD J REPETA JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD, MPH

Contact information

Practice address
9501 FARRELL RD, ATTN: EMERGENCY DEPARTMENT, FORT BELVOIR, VA 22060-5901
(703) 805-0414
(703) 805-0416
Mailing address
9501 FARRELL RD, ATTN: EMERGENCY DEPARTMENT, FORT BELVOIR, VA 22060-5901
(703) 805-0414
(703) 805-0416

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
158529
MA

Other

Enumeration date
10/28/2005
Last updated
07/08/2007
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