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Individual

DR. PAUL JOHN O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6715 LITTLE RIVER TPKE STE 300, ANNANDALE, VA 22003-3546
(703) 751-6668
(703) 642-1049
Mailing address
6715 LITTLE RIVER TPKE STE 300, ANNANDALE, VA 22003-3546
(703) 751-6668
(703) 642-1049

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101055808
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010062802
VA
01
5164685
AETNA
01
J4230001
CAREFIRST
Enumeration date
12/12/2006
Last updated
02/07/2022
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