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Individual

ERROL SEGALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351
Mailing address
8500 EXECUTIVE PARK AVE, SUITE 200, FAIRFAX, VA 22031-2225
(703) 698-5220
(703) 573-2351

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101031662
VA
2084P0800X
Psychiatry Physician
D0042679
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0001
CAREFIRST NCA
DC
01
032028
VALUE OPTIONS
VA
01
110142-000
MAGELLAN
VA
01
153479
ANTHEM
VA
05
403200400
MD
01
4137282
AETNA
01
513455
NCPPO
VA
01
520045
MAMSI
Enumeration date
07/15/2005
Last updated
11/10/2011
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