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Individual

DR. ALEXIA R GOSPODINOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1860 TOWN CENTER DR, SUITE #130, RESTON, VA 20190-5896
(703) 709-9174
(703) 709-9183
Mailing address
1860 TOWN CENTER DR, SUITE #130, RESTON, VA 20190-5896
(703) 709-9174
(703) 709-9183

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
0101055199
VA
207RR0500X
Rheumatology Physician
D0054036
MD
207RR0500X
Rheumatology Physician
MD30046
DC

Other

Enumeration date
11/29/2006
Last updated
07/08/2007
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