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Individual

DR. SCOTT D KANTOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12011 LEE JACKSON MEMORIAL HWY, KAISER PERMANENTE PENDERBROOK MEDICAL CENTER, FAIRFAX, VA 22033-3310
(703) 383-5541
(703) 383-5547
Mailing address
2101 EAST JEFFERSON STREET, KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP, ROCKVILLE, MD 20852-4908
(301) 816-2424

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101031810
VA
208800000X
Urology Physician
D25669
MD
208800000X
Urology Physician
MD33129
DC

Other

Enumeration date
12/12/2006
Last updated
11/02/2011
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