Individual
DR. BENJAMIN PASICOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1340 OLD CHAIN BRIDGE RD, STE. 101, MCLEAN, VA 22101-3955
(703) 893-2273
(703) 893-4559
Mailing address
1340 OLD CHAIN BRIDGE RD, STE. 101, MCLEAN, VA 22101-3955
(703) 893-2273
(703) 893-4559
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0101027134
VA
Other
Enumeration date
03/01/2007
Last updated
07/08/2007
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