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Individual

ALLISON BAE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3300 GALLOWS RD FL 1, FALLS CHURCH, VA 22042-3307
(703) 776-4005
(703) 776-7068
Mailing address
3300 GALLOWS RD FL 1, FALLS CHURCH, VA 22042-3307
(703) 776-4005
(703) 776-7068

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101057852
VA
207QA0505X
Adult Medicine Physician
0101057852
VA

Other

Enumeration date
06/23/2005
Last updated
11/27/2023
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