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Individual

MALCOLM T DOYLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8073
(703) 369-8032
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101279737
VA
2085R0202X
Diagnostic Radiology Physician
35-076206
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2121537
OH
01
300099774
RR MEDICARE
OH
Enumeration date
08/31/2005
Last updated
01/25/2024
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