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Individual

ARJA A MABERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
4355 INNSLAKE DRIVE, GLEN ALLEN, VA 23060
(804) 967-9225
(804) 545-5168
Mailing address
PO BOX 403751, ATLANTA, GA 30384
(804) 967-9225
(804) 545-1686

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101235293
VA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
040582
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
0423152
KS
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
18760
OK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA05151200
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
H3625
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
R9J68
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5001580
GHI
NY
Enumeration date
09/07/2006
Last updated
07/08/2007
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