Individual
A. DAVID BERNANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4660 KENMORE AVE STE 604, ALEXANDRIA, VA 22304-1300
(703) 751-6582
(703) 751-1437
Mailing address
4660 KENMORE AVE STE 604, ALEXANDRIA, VA 22304-1300
(703) 751-6582
(703) 751-1437
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0101016723
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B558-0001
CAREFIRST BCBS
VA
Enumeration date
10/19/2006
Last updated
11/21/2007
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