Individual
ALI ABID HASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101263106
VA
Other
Enumeration date
04/03/2012
Last updated
09/29/2017
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