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Organization

EAR NOSE & THROAT ASSOCIATES PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE Y. CHUSING (OFFICE MANAGER)
(703) 468-2205
Entity
Organization

Contact information

Practice address
7001 HERITAGE VILLAGE PLZ, SUITE 260, GAINESVILLE, VA 20155-3065
(703) 468-2205
(703) 468-2216
Mailing address
7001 HERITAGE VILLAGE PLZ, SUITE 260, GAINESVILLE, VA 20155-3065
(703) 468-2205
(703) 468-2216

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101236105
VA

Other

Enumeration date
02/02/2011
Last updated
02/14/2012
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