Individual
DR. ALBERT EDWARD HOLT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, CRITICAL CARE DEPARTMENT, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Mailing address
3300 GALLOWS RD, CRITICAL CARE DEPARTMENT, FALLS CHURCH, VA 22042-3307
(703) 776-3582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
159488
MA
207R00000X
Internal Medicine Physician
D00612264
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101245427
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
159488
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0061264
MD
Other
Enumeration date
10/03/2005
Last updated
06/14/2010
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