Individual
DR. MATTHEW GUY KESTENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6565 ARLINGTON BLVD, SUITE 500, FALLS CHURCH, VA 22042-3013
(703) 396-6197
(703) 779-1372
Mailing address
24419 MILLSTREAM DR, ALDIE, VA 20105-5837
(703) 957-1768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101232319
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101232319
VA LICENSE
VA
Enumeration date
10/05/2006
Last updated
10/30/2015
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