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1336190123
FREDERICK PLACE
FALLS CHURCH, VA
NPI
1336190123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VA 0101231149)
Enumeration Date
2006-05-15
Last Update Date
2007-07-17
Business Address
-- FREDERICK PLACE MD
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3111
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Mailing Address
-- FREDERICK PLACE MD
PO BOX 75567
BALTIMORE, MD 21275-5567
Phone number: 888-898-3291
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