Individual
JAMES RITCHIE JEZIOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12255 FAIR LAKES PKWY BLDG 4TH, FAIRFAX, VA 22033-3952
(703) 934-4120
Mailing address
12041 CREEKBEND DR, RESTON, VA 20194-5629
(240) 447-0428
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101059361
VA
Other
Enumeration date
12/20/2006
Last updated
06/06/2021
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