Organization
INFECTIOUS DISEASES & MEDICAL ASSOCIATES
Active
Organization
INFECTIOUS DISEASES & MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M (MARGARET) ELLEN JAY PHD (ADMINISTRATIVE ASSISTANT)
(301) 384-9008
Entity
Organization
Contact information
Practice address
1635 N GEORGE MASON DR, SUITE 180, ARLINGTON, VA 22205-3601
(703) 276-7798
(703) 276-0433
Mailing address
1635 N GEORGE MASON DR, SUITE 180, ARLINGTON, VA 22205-3601
(703) 276-7798
(703) 276-0433
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
0101038151
VA
207RI0200X
Infectious Disease Physician
0101042196
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6055079
—
VA
Enumeration date
09/06/2005
Last updated
02/17/2010
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