Individual
EDIBALDO SILVA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13900 CHURCH HILL DR, WOODBRIDGE, VA 22191-2131
(703) 335-2779
Mailing address
13900 CHURCH HILL DR, WOODBRIDGE, VA 22191-2131
(703) 335-2779
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
0101275456
VA
2086X0206X
Surgical Oncology Physician
22537
NE
Other
Enumeration date
08/21/2006
Last updated
09/17/2024
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