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1043200579
BRENDAN L WATERS
WOODBRIDGE, VA
NPI
1043200579
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA 0102201725)
Enumeration Date
2005-10-26
Last Update Date
2013-10-14
Business Address
-- BRENDAN L WATERS DO
2300 OPITZ BLVD DEPT OF RADIOLOGY
WOODBRIDGE, VA 22191
Phone number: 703-607-1561
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Mailing Address
-- BRENDAN L WATERS DO
6 FRANKLIN ST
ALEXANDRIA, VA 22314-3868
Phone number: 215-432-3072
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