Individual
JONATHAN ABRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
(703) 287-6625
Mailing address
8008 WESTPARK DR, MC LEAN, VA 22102-3109
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101257959
VA
207P00000X
Emergency Medicine Physician
MD043089
DC
Other
Enumeration date
07/06/2011
Last updated
06/27/2021
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