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Individual

ALAN C EGGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8140 ASHTON AVE, STE 120, MANASSAS, VA 20109-5698
(703) 361-3128
(703) 361-3670
Mailing address
8140 ASHTON AVE, STE 120, MANASSAS, VA 20109-5698
(703) 361-3128
(703) 361-3670

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101036560
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006362303
VA
Enumeration date
02/01/2006
Last updated
05/02/2011
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