Individual
DR. MARC ROBERT GALLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 RICHMOND HWY, LORTON, VA 22079-2124
(703) 339-7788
(703) 339-5713
Mailing address
10105 HAMPTON WOODS DR, FAIRFAX STATION, VA 22039-2729
(703) 643-1416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101027729
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5617928
—
VA
Enumeration date
06/30/2006
Last updated
04/07/2010
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