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1487910725
MATTHEW RICHARD MALIVUK
LEESBURG, VA
NPI
1487910725
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0102203666)
Enumeration Date
2012-04-10
Last Update Date
2023-02-15
Business Address
MATTHEW RICHARD MALIVUK
44045 RIVERSIDE PKWY
LEESBURG, VA 20176-5101
Phone number: 703-858-6000
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Mailing Address
MATTHEW RICHARD MALIVUK
2215 LANDOVER PL
LYNCHBURG, VA 24501-2115
Phone number: 434-947-3944
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