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Individual

DR. GILBERT RAYMOND IRWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.P.C.

Contact information

Practice address
9590 SURVEYOR CT, MANASSAS, VA 20110-4406
(703) 361-5116
(703) 361-5876
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 361-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101023931
VA
207RI0200X
Infectious Disease Physician
0101023931
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1588649990
VA
05
6052975
VA
Enumeration date
12/08/2005
Last updated
12/08/2016
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