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Individual

PHILIP SCOT GRECO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5249 DUKE ST., SUITE 307, ALEXANDRIA, VA 22304-2978
(703) 370-8060
(703) 370-3996
Mailing address
5249 DUKE ST., SUITE 307, ALEXANDRIA, VA 22304-2978
(703) 370-8060
(703) 370-3996

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101-029577
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
088203
ANTHEM BLUE CROSS
VA
05
7175493
VA
Enumeration date
08/08/2006
Last updated
07/08/2007
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