Individual
CRAIG REZAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1625 N GEORGE MASON DR STE 334, ARLINGTON, VA 22205-3690
(703) 717-4180
(703) 717-4181
Mailing address
1625 N GEORGE MASON DR STE 334, ARLINGTON, VA 22205-3690
(703) 717-4180
(703) 717-4181
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA06952500
NJ
208C00000X
Colon & Rectal Surgery Physician
Primary
0101262770
VA
208C00000X
Colon & Rectal Surgery Physician
25MA06952500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069795
—
NJ
Enumeration date
11/07/2006
Last updated
02/07/2021
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