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Individual

MARTIN S HORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10721 MAIN STREET, SUITE 3100, FAIRFAX, VA 22030-6906
(703) 352-2620
(703) 352-2594
Mailing address
10721 MAIN STREET, SUITE 3100, FAIRFAX, VA 22030-6906
(703) 352-2620
(703) 352-2594

Taxonomy

Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
0101033164
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005949467
VA
Enumeration date
12/20/2005
Last updated
07/02/2015
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