Organization
JAN PAUL FRUITERMAN MD & ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN PAUL FRUITERMAN MD (PRESIDENT)
(703) 425-5100
Entity
Organization
Contact information
Practice address
13880 BRADDOCK RD STE 307, CENTREVILLE, VA 20121-2462
(703) 425-5100
(703) 425-8803
Mailing address
13880 BRADDOCK ROAD, SUITE 307, CENTREVILLE, VA 20121-2438
(703) 425-5100
(703) 425-8803
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101029267
MD
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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