Individual
MR. ALFRED J. PACIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A-C
Contact information
Practice address
20796 ESKRIDGE CT, POTOMAC FALLS, VA 20165-7735
(703) 727-7773
Mailing address
20796 ESKRIDGE CT, POTOMAC FALLS, VA 20165-7735
(703) 727-7773
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003990-1
NY
363A00000X
Physician Assistant
Primary
0110-840459
VA
363A00000X
Physician Assistant
C0001501
MD
Other
Enumeration date
05/20/2006
Last updated
04/22/2016
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