Individual
CARLOS JULIO MOLESTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3001 HOSPITAL DR, CHEVERLY, MD 20785-1189
(301) 618-2000
Mailing address
1573 N COLONIAL TER, UNIT 202, ARLINGTON, VA 22209-1422
(571) 418-8347
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
C0005810
MD
363AS0400X
Surgical Physician Assistant
Primary
C0005810
MD
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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