Individual
MICHAEL JAY NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2616 SHERWOOD HALL LN, SUITE 411, ALEXANDRIA, VA 22306-3100
(703) 780-5073
Mailing address
2616 SHERWOOD HALL LN, SUITE 411, ALEXANDRIA, VA 22306-3100
(703) 780-5073
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101042969
VA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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