Individual
DR. IBRAHIM E.M. ELFADIL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
13305 HUNTINGTON LN, WOODBRIDGE, VA 22193
(571) 572-8176
Mailing address
13305 HUNTINGTON LN, WOODBRIDGE, VA 22193-5130
(571) 572-8176
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
VA
Other
Enumeration date
08/09/2008
Last updated
02/23/2016
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