Individual
ATOUSSA FAROUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12731 MARBLESTONE DR, WOODBRIDGE, VA 22192-8333
(703) 897-4700
(703) 897-6603
Mailing address
12731 MARBLESTONE DR, STE 200, WOODBRIDGE, VA 22192-8334
(703) 497-4700
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101245426
VA
Other
Enumeration date
05/20/2008
Last updated
01/05/2023
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