Organization
ASSOCIATES IN OTOLARYNGOLOGY HEAD AND NECK SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAY NATHAN M.D. (DOCTOR)
(703) 313-0373
Entity
Organization
Contact information
Practice address
6355 WALKER LN, SUITE 411, ALEXANDRIA, VA 22310-3245
(703) 313-0373
(703) 719-0400
Mailing address
6355 WALKER LN, SUITE 411, ALEXANDRIA, VA 22310-3245
(703) 313-0373
(703) 719-0400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/01/2006
Last updated
08/22/2020
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