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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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