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1639241771
MARK EMANUEL VASILIADIS
RESTON, VA
NPI
1639241771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101050406)
Enumeration Date
2006-11-14
Last Update Date
2022-08-25
Business Address
Mr. MARK EMANUEL VASILIADIS M.D.
12040 S LAKES DR SUITE 195
RESTON, VA 20191-1246
Phone number: 703-230-0347
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Mailing Address
Mr. MARK EMANUEL VASILIADIS M.D.
12040 S LAKES DR STE 204
RESTON, VA 20191-1236
Phone number: 703-230-0347
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