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Individual

VAN TRONG HA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19415 DEERFIELD AVENUE, SUITE 314, LEESBURG, VA 20176-8472
(703) 723-7171
(703) 723-7176
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-3346
(703) 737-6010
(703) 443-8643

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101057508
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
070014592
RR MEDICARE
VA
05
1649263195
VA
05
30016747580001
VA
Enumeration date
08/30/2005
Last updated
10/10/2023
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