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Individual

JOANNE G CRANTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8316 ARLINGTON BLVD, SUITE 615, FAIRFAX, VA 22031-5207
(703) 560-8877
(706) 560-8869
Mailing address
8316 ARLINGTON BLVD, SUITE 615, FAIRFAX, VA 22031-5207
(703) 560-8877
(706) 560-8869

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101038714
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
208055
ANTHEM
VA
01
25790004
CAREFIRST BC/BS
VA
05
5853192
VA
Enumeration date
03/17/2006
Last updated
07/05/2012
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