Individual
MATTHEW JOSEPH DULAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6120 GREEN CAP PL, FAIRFAX, VA 22030-5915
(571) 271-9850
Mailing address
6120 GREEN CAP PL, FAIRFAX, VA 22030-5915
(571) 271-9850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110009606
VA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
09/23/2024
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