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Individual

ORIN L EDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4375 FAIR LAKES CT, FAIRFAX, VA 22033-4234
(571) 432-2735
Mailing address
4375 FAIR LAKES CT, FAIRFAX, VA 22033-4234

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101232017
VA
207P00000X
Emergency Medicine Physician
C55212
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5880505
VA
01
930123423
RAILROAD MEDICARE
VA
Enumeration date
05/11/2006
Last updated
12/18/2025
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