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Organization

JORGE L. CAMPANA, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JORGE LUIS CAMPANA M.D. (PRACTICE OWNER/PROVIDER)
(703) 534-4277
Entity
Organization

Contact information

Practice address
6201 LEESBURG PIKE, FALLS CHURCH, VA 22044-2201
(703) 534-4277
(703) 241-5510
Mailing address
6201 LEESBURG PIKE, SUITE 200, FALLS CHURCH, VA 22044-2201
(703) 534-4277
(703) 241-5510

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101043415
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006301576
VA
Enumeration date
03/17/2008
Last updated
04/14/2010
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