Individual
DR. CHAE-IM SANTOS PONTIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9300 DEWITT LOOP, FT. BELVOIR, VA 22060-5901
(571) 231-4243
Mailing address
9316 OCCOQUAN OVERLOOK DRIVE, LORTON, VA 22079-3462
(703) 646-5053
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101237486
VA
Other
Enumeration date
11/17/2005
Last updated
12/01/2011
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