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Individual

CAREY M. MARDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
130 PARK ST SE, STE 100, VIENNA, VA 22180-4626
(703) 281-1265
(703) 255-0571
Mailing address
2901 TELESTAR CT STE 300, FALLS CHURCH, VA 22042-1263
(703) 591-1688
(703) 591-1445

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101033040
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
031741700
DC
01
060034952
RAILROAD MEDICARE DC #
DC
01
060062642
RAILROAD MEDICARE VA #
VA
05
1205838471
VA
05
340102200
MD
Enumeration date
06/01/2005
Last updated
08/27/2021
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