Individual
OBAIDULLAH FAIQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12444 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5258
(703) 680-4323
Mailing address
12444 DILLINGHAM SQ, WOODBRIDGE, VA 22192-5258
(703) 680-4323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002664
VA
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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