Individual
BENJAMIN MORRIS EPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033-1715
(703) 391-2020
Mailing address
3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033-1715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101283441
VA
207Q00000X
Family Medicine Physician
Primary
0116037915
VA
Other
Enumeration date
06/15/2023
Last updated
04/22/2025
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