Individual
EDMOND LAURENT PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8503 ARLINGTON BLVD, SUITE 310, FAIRFAX, VA 22031-4628
(703) 208-4200
(703) 876-1799
Mailing address
8503 ARLINGTON BLVD, SUITE 310, FAIRFAX, VA 22031-4628
(703) 208-4200
(703) 876-1799
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD09096
RI
Other
Enumeration date
04/19/2006
Last updated
11/27/2023
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