Individual
DR. MALGORZATA GRADZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3620 JOSEPH SIEWICK DR, SUITE 401, FAIRFAX, VA 22033-1756
(703) 648-9800
(703) 648-9808
Mailing address
PO BOX 34, CABIN JOHN, MD 20818-0034
(703) 648-9800
(703) 648-9808
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101056754
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005853940
—
VA
01
—
271949
ANTHEM BCBS
VA
Enumeration date
11/21/2007
Last updated
11/02/2009
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