Individual
STUART MARLON PORTNOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5151 10TH RD N, ARLINGTON, VA 22205-2505
(703) 527-2380
(650) 412-0961
Mailing address
5151 10TH RD N, ARLINGTON, VA 22205-2505
(703) 527-2380
(650) 412-0961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101048587
VA
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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