Individual
DR. JONATHAN IRA SEGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4825 MARK CENTER DR STE 150, ALEXANDRIA, VA 22311-1846
(703) 751-8111
(703) 751-1105
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101273918
VA
207RC0000X
Cardiovascular Disease Physician
Primary
0101273918
VA
207UN0901X
Nuclear Cardiology Physician
0101273918
VA
Other
Enumeration date
04/24/2015
Last updated
04/01/2025
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