Individual
DR. JOHN M NORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2730-A PROSPERITY AVENUE, FAIRFAX, VA 22031-4330
(703) 289-1400
(703) 289-1414
Mailing address
2730-B PROSPERITY AVENUE, FAIRFAX, VA 22031-4330
(703) 289-1400
(703) 289-1414
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101044050
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6717811
—
VA
05
—
6717829
—
VA
05
—
6746047
—
VA
Enumeration date
06/08/2006
Last updated
11/15/2007
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