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Individual

DR. EDWARD FRANCIS BARBANO JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8996 BURKE LAKE RD, SUITE 102, BURKE, VA 22015-1607
(703) 764-2111
(703) 764-1418
Mailing address
8996 BURKE LAKE RD, SUITE 102, BURKE, VA 22015-1607
(703) 764-2111
(703) 764-1418

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101049038
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5828520
VA
Enumeration date
04/06/2006
Last updated
07/08/2007
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