Individual
DR. BRADLEY HIROSHI NITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, DEPARTMENT OF MEDICINE, 2ND FLOOR, SOUTH PATIENT TOWER, FALLS CHURCH, VA 22042-3307
(703) 776-2173
Mailing address
3300 GALLOWS RD, DEPARTMENT OF MEDICINE, 2ND FLOOR, SOUTH PATIENT TOWER, FALLS CHURCH, VA 22042-3307
(703) 776-2173
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
0101264456
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116028036
VA
Other
Enumeration date
06/16/2015
Last updated
02/10/2020
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