Individual
WASIM FAWZI RASLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4689 LONGSTREET LN APT 303, ALEXANDRIA, VA 22311-4934
(571) 480-0086
Mailing address
4689 LONGSTREET LN APT 303, ALEXANDRIA, VA 22311-4934
(571) 480-0086
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036074036
IL
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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