Individual
MR. MARCUS SUSEEL GOPALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6273 WALKERS CROFT WAY, ALEXANDRIA, VA 22315-5236
(202) 631-1064
Mailing address
6273 WALKERS CROFT WAY, ALEXANDRIA, VA 22315-5236
(202) 631-1064
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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