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Individual

BRUCE W PFEFFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8316 TRAFORD LN, SPRINGFIELD, VA 22152
(703) 569-8400
(703) 569-1182
Mailing address
8316 TRAFORD LN, SPRINGFIELD, VA 22152
(703) 569-8400
(703) 569-1182

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101024712
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10387813
CAQH
01
4089488
AETNA PPO
01
840880
OPTIMUM CHOICE
01
876746
AETNA HMO
01
B9390003
CARE FIRST BCBS
Enumeration date
10/26/2006
Last updated
07/08/2007
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