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Individual

DR. STUART HENOCHOWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., M.B.A., FACP

Contact information

Practice address
6035 BURKE CENTRE PKWY, SUITE 120, BURKE, VA 22015-3750
(703) 425-6010
(703) 425-7504
Mailing address
6035 BURKE CENTRE PKWY, SUITE 120, BURKE, VA 22015-3750
(703) 425-6010
(703) 425-7504

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
0101043840
VA
207R00000X
Internal Medicine Physician
Primary
0101043840
VA

Other

Enumeration date
08/12/2006
Last updated
01/03/2011
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