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Individual

DR. JUDITH ANNE NIEMYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1005 N GLEBE RD, SUITE 550, ARLINGTON, VA 22201-5718
(202) 431-2376
Mailing address
1005 N GLEBE RD, SUITE 550, ARLINGTON, VA 22201-5718
(202) 431-2376

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049777
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01355128
MEDICARE PROVIDER #
VA
Enumeration date
02/21/2010
Last updated
02/21/2010
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