Individual
MR. JOSE SAUL TISSERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8301 ARLINGTON BLVD, STE 305, FAIRFAX, VA 22031-2902
(703) 573-2301
(703) 573-5104
Mailing address
8301 ARLINGTON BLVD, STE 305, FAIRFAX, VA 22031-2902
(703) 573-2301
(703) 573-5104
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101023093
VA
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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