Individual
KARL E DE JONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3180 FAIRVIEW PARK DR STE 500, FALLS CHURCH, VA 22042-4516
(703) 538-2066
Mailing address
6304 BROAD BRANCH RD, CHEVY CHASE, MD 20815-3342
(202) 288-9558
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD20969
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025712900
—
DC
05
—
180981401
—
MD
05
—
7603452
—
VA
Enumeration date
05/19/2006
Last updated
11/02/2020
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