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Individual

FAYE ROSENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1635 N GEORGE MASON DR, #420, ARLINGTON, VA 22205-3601
(703) 536-4000
(703) 527-4339
Mailing address
1635 N GEORGE MASON DR, #420, ARLINGTON, VA 22205-3601
(703) 536-4000
(703) 527-4339

Taxonomy

Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
0101042415
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6100317
VA
Enumeration date
10/26/2005
Last updated
08/30/2012
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