Individual
DR. ENOCH MARVIN SANDERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13135 LEE JACKSON MEMORIAL HWY STE 305, FAIRFAX, VA 22033-1907
(703) 359-8640
(703) 591-6105
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101242328
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055265800
—
DC
05
—
7324027
—
VA
Enumeration date
08/20/2007
Last updated
04/21/2021
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