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Individual

JOHN P HUSAK

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9501 FARRELL RD, FORT BELVOIR, VA 22060-5901
(703) 767-0741
(703) 767-4999
Mailing address
403 S FAYETTE ST, ALEXANDRIA, VA 22314-5904

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
DOS 729
HI

Other

Enumeration date
01/11/2006
Last updated
07/08/2007
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