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Individual

ROGER ALFRED NOEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8316 ARLINGTON BLVD, SUITE 234, FAIRFAX, VA 22031-5207
(703) 560-0300
(703) 560-8679
Mailing address
8316 ARLINGTON BLVD, SUITE 234, FAIRFAX, VA 22031-5207
(703) 560-0300
(703) 560-8679

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101020135
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001600
ANTHEM
VA
01
3567
CARE FIRST BCBS
DC
01
4090985
AETNA
Enumeration date
10/06/2005
Last updated
05/13/2008
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