Individual
ANGELA L CHEZEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24801 PINEBROOK RD STE 110, CHANTILLY, VA 20152-4113
(703) 722-2500
(703) 327-1850
Mailing address
24801 PINEBROOK RD STE 110, CHANTILLY, VA 20152-4113
(703) 722-2500
(703) 327-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101233484
VA
207Q00000X
Family Medicine Physician
C55848
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275621666
—
VA
Enumeration date
10/11/2006
Last updated
11/09/2022
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