Individual
MR. RAYMOND VERGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3301 WOODBURN RD STE 301, ANNANDALE, VA 22003-1294
(703) 204-9301
Mailing address
3301 WOODBURN RD STE 301, ANNANDALE, VA 22003-1294
(703) 204-9301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101045676
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6052321
—
VA
Enumeration date
08/12/2006
Last updated
07/08/2007
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