Individual
DR. ROBERT J VAN KIRK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 SUDLEY RD, MANASSAS, VA 20110
(703) 369-8484
Mailing address
PO BX 221322, CHANTILLY, VA 20153
(703) 691-2516
(703) 691-3526
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
350886613
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101242736
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427278670
—
VA
Enumeration date
04/30/2007
Last updated
11/26/2008
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