Organization
GILBERT R IRWIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT RAYMOND IRWIN MD. (PREIDENT)
(703) 361-5116
Entity
Organization
Contact information
Practice address
9590 SURVEYOR COURT, MANASSAS, VA 20110-4406
(703) 361-5116
Mailing address
9590 SURVEYOR COURT, MANASSAS, VA 20110-4406
(703) 361-5116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101023931
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588649990
—
VA
Enumeration date
03/01/2012
Last updated
03/20/2012
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