Individual
BEN NETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8525 ROLLING RD, SUITE 200, MANASSAS, VA 20110-3647
(703) 257-2266
(703) 257-2269
Mailing address
8525 ROLLING RD, SUITE 200, MANASSAS, VA 20110-3647
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-005567
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110-005567
VIRGINIA BOARD OF MEDICINE
VA
01
—
1136085
NCCPA
—
Enumeration date
12/29/2016
Last updated
03/07/2023
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