Individual
DR. ESSAM A. FAWZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
12011 LEE JACKSON HWY STE 501, FAIRFAX, VA 22033-3315
(703) 259-7027
Mailing address
12011 LEE JACKSON HWY STE 501, FAIRFAX, VA 22033-3315
(703) 259-7027
(703) 591-0005
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
04-137
MD
Other
Enumeration date
01/09/2012
Last updated
09/06/2018
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