Individual
ANDRE EGLEVSKY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2201 CHARLES ST, FREDERICKSBURG, VA 22401-3378
(540) 371-5333
(540) 372-6978
Mailing address
2201 CHARLES ST, FREDERICKSBURG, VA 22401-3378
(540) 371-5333
(540) 372-6978
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101028315
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6460305
—
VA
Enumeration date
10/17/2005
Last updated
07/08/2007
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