DMITRIY STASISHIN

FALLS CHURCH, VA
NPI1548723281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: VA  0102208614)
Enumeration Date2019-04-10
Last Update Date2024-06-26
Business Address
Dr. DMITRIY STASISHIN DO
200 PARK AVE
FALLS CHURCH, VA 22046-4300
Phone number: 571-634-3636
Mailing Address
Dr. DMITRIY STASISHIN DO
200 PARK AVE
FALLS CHURCH, VA 22046-4300
Phone number: 571-634-3636