Individual
EDGAR SADSAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.S.A.
Contact information
Practice address
6101 FOX RUN, FAIRFAX, VA 22030-5949
(703) 502-1705
Mailing address
6101 FOX RUN, FAIRFAX, VA 22030-5949
(703) 502-1705
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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