Organization
TOBIN S NAIDORF MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOBIN S NAIDORF MD (PROPRIETOR)
(703) 799-1688
Entity
Organization
Contact information
Practice address
7910 ANDRUS RD, #6, ALEXANDRIA, VA 22306-3171
(703) 799-1688
(703) 799-4092
Mailing address
7910 ANDRUS RD, #6, ALEXANDRIA, VA 22306-3171
(703) 799-1688
(703) 799-4092
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101043875
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006043003
—
VA
01
—
1457306318
NPI
VA
01
—
181852
PTAN
VA
Enumeration date
05/03/2007
Last updated
05/03/2011
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