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1295772275
PETER REID KONGSTVEDT
RESTON, VA
NPI
1295772275
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101046055)
Enumeration Date
2006-05-31
Last Update Date
2007-07-08
Business Address
Dr. PETER REID KONGSTVEDT M.D.
11951 FREEDOM DR
RESTON, VA 20190-5640
Phone number: 703-947-2489
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Mailing Address
Dr. PETER REID KONGSTVEDT M.D.
1464 BUENA VISTA AVE
MC LEAN, VA 22101-3510
Phone number: 703-442-8908
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