Individual
JAIMIE S TOM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 SEMINARY RD, ALEXANDRIA HOSPITAL, ALEXANDRIA, VA 22304
(703) 504-3066
(703) 504-3866
Mailing address
1300 PICCARD DR, STE 202, ROCKVILLE, MD 20850-4303
(301) 921-7900
(301) 921-7915
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101238478
VA
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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