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Individual

ARINA VAN BREDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8001 FORBES PL, SUITE 103, SPRINGFIELD, VA 22151-2208
(703) 824-3200
Mailing address
PO BOX 79537, BALTIMORE, MD 21279-0537
(703) 824-3200

Taxonomy

Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101035402
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
300053684
RAILROAD MEDICARE
01
P00122471
RAILROAD MEDICARE
Enumeration date
10/02/2006
Last updated
03/25/2013
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