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Individual

TOBIN SCOTT NAIDORF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 PARKERS LN SUITE 114, ALEXANDRIA, VA 22306-3410
Mailing address
P.O. BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101043875
VA
207RG0100X
Gastroenterology Physician
Primary
0101043875
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006043003
VA
Enumeration date
05/22/2006
Last updated
08/09/2022
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