Individual
DR. JAN PAUL FRUITERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 S WASHINGTON ST, ST 300, FALLS CHURCH, VA 22046-4020
(703) 532-2500
(703) 237-1184
Mailing address
18318 FAIRWAY OAKS SQ, LEESBURG, VA 20176-8460
(571) 243-8806
(703) 779-1795
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101029267
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6211607
—
VA
Enumeration date
08/19/2005
Last updated
02/16/2010
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