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Individual

DR. ANTHONY J. PRAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1313
Mailing address
47427 HALCYON PL, STERLING, VA 20165-3154
(703) 450-7666

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101230895
VA

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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