Individual
DR. WILFREDO JAVIER NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1050 W PERIMETER RD, JB ANDREWS, MD 20762-6601
(240) 257-8666
Mailing address
8191 STRAWBERRY LN APT 317, FALLS CHURCH, VA 22042-1047
(719) 629-6169
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A054592
CA
2083A0100X
Aerospace Medicine Physician
Primary
AO54592
CA
Other
Enumeration date
02/16/2006
Last updated
11/01/2023
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