Individual
JOANN PFUNDSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3020 HAMAKER CT, SUITE B102, FAIRFAX, VA 22031-2238
(571) 327-5107
(571) 327-5786
Mailing address
3020 HAMAKER COURT, SUITE B102, FAIRFAX, VA 22031-2220
(571) 327-5107
(571) 327-5786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101052483
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5873576
—
VA
01
—
A582-0003
BCBS PLANS
—
Enumeration date
05/27/2005
Last updated
09/12/2016
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