Ellsworth J Stay MD

NPI 1083647531 - Pathology - 207ZP0102X

NPI Details
NPI 1083647531
Gender Male
Enumeration Date 07/08/2006
Last Updated 09/12/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1625 N GEORGE MASON DR
PATHOLOGY DEPT
ARLINGTON VA, 22205-3683, US
Phone (703) 558-6541
Fax (502) 456-4440
Business Location
PO BOX 7308
ARLINGTON VA, 22207-0308, US
Phone (800) 292-1387
Fax (502) 456-4440
Toxanomy
Taxonomy Code 207ZP0102X
License State Virginia
License Number 0101-029766
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According to our database, Dr. Ellsworth J Stay MD NPI is 1083647531, taxonomy code is 207ZP0102X and license number is 0101-029766, license state is located at Virginia. Ellsworth J Stay MD physically located at 1625 N George Mason Dr, Arlington VA, 22205-3683. NPI Number Ellsworth J Stay MD has the Individual type.

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1083647531 NPI number is provided on an as is basis without warranty of any kind. 1083647531 is maintained by the National Plan & Provider Enumeration System. The contents of Ellsworth J Stay MD are for informational purposes only.