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Individual

DR. ROBERT GARY FENTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
6400 ARLINGTON BLVD STE 940, FALLS CHURCH, VA 22042-2336
(240) 447-2512
(703) 241-7723
Mailing address
6400 ARLINGTON BLVD STE 940, FALLS CHURCH, VA 22042-2336
(240) 447-2512
(703) 241-7723

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
0101246955
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
037541300
DC
05
084403900
MD
Enumeration date
06/14/2006
Last updated
04/26/2010
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