Individual
DR. JASON ANDREW GENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 359-7460
Mailing address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 359-7460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101260961
VA
207R00000X
Internal Medicine Physician
D82314
MD
207R00000X
Internal Medicine Physician
MD044610
DC
Other
Enumeration date
05/21/2013
Last updated
06/06/2021
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