Individual
DR. CAMILLA DULYS NUSBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4850 MARK CENTER DR, ALEXANDRIA, VA 22311-1882
(703) 535-5568
Mailing address
3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033-1715
(703) 391-2020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101273255
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2020
Last updated
08/25/2025
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