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1548723281
DMITRIY STASISHIN
FALLS CHURCH, VA
NPI
1548723281
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: VA 0102208614)
Enumeration Date
2019-04-10
Last Update Date
2024-06-26
Business Address
Dr. DMITRIY STASISHIN DO
200 PARK AVE
FALLS CHURCH, VA 22046-4300
Phone number: 571-634-3636
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Mailing Address
Dr. DMITRIY STASISHIN DO
200 PARK AVE
FALLS CHURCH, VA 22046-4300
Phone number: 571-634-3636
Copy
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