Fairfax Eye Associates Inc

NPI 1881663102 - Ophthalmology - 207W00000X

NPI Details
NPI 1881663102
Enumeration Date 03/17/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DERTAD DERTAD
Position OWNER
Phone (703) 591-4884
Fax (703) 591-6932
Practice Location
9936 MAIN ST
FAIRFAX VA, 22031, US
Phone (703) 591-4884
Fax (703) 591-6932
Business Location
9936 MAIN ST
FAIRFAX VA, 22031, US
Phone (703) 591-4884
Fax (703) 591-6932
Toxanomy
Taxonomy Code 207W00000X
License State Virginia
License Number 0101051247
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According to our database, Fairfax Eye Associates Inc NPI is 1881663102, taxonomy code is 207W00000X and license number is 0101051247, license state is located at Virginia. Fairfax Eye Associates Inc physically located at 9936 Main St, Fairfax VA, 22031. NPI Number 1033115704 has the healthcare provider type.

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1881663102 NPI number is provided on an as is basis without warranty of any kind. 1881663102 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Eye Associates Inc are for informational purposes only.