Individual
DR. JOHN ROBERT MINARCIK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8505 ARLINGTON BLVD STE 300, FAIRFAX, VA 22031-4630
(703) 698-9335
(703) 207-0038
Mailing address
7501 GREENWAY CENTER DR # 300, GREENBELT, MD 20770-3514
(301) 474-4679
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101244998
VA
207W00000X
Ophthalmology Physician
D0068656
MD
207W00000X
Ophthalmology Physician
MD37862
DC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
0101244998
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021372100
—
MD
Enumeration date
01/29/2007
Last updated
04/09/2019
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