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Individual

JUSTIN VANKLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101266785
VA
207R00000X
Internal Medicine Physician
MD14860
RI
207R00000X
Internal Medicine Physician
MD55252
TN
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0101266785
VA
208M00000X
Hospitalist Physician
0101266785
VA
208M00000X
Hospitalist Physician
MD55252
TN

Other

Enumeration date
06/06/2012
Last updated
08/05/2021
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