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1437101508
GORDON W THEISZ
FALLS CHURCH, VA
NPI
1437101508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101102617)
Enumeration Date
2006-05-17
Last Update Date
2023-01-19
Business Address
GORDON W THEISZ MD
124 E BROAD ST STE A
FALLS CHURCH, VA 22046-4530
Phone number: 703-533-7555
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Mailing Address
GORDON W THEISZ MD
124 E BROAD ST STE A
FALLS CHURCH, VA 22046-4530
Phone number: 703-533-7555
Copy
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