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NPI Code Detail

MEDICARE: DR. FRANCIS MERVAN GRESS JR. M.D.

MEDICARE:  DR. FRANCIS MERVAN GRESS JR. M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD028063EPA
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD-8017HI
3207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101259551VA

General Provider Information

NPI Number : 1386629491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANCIS MERVAN GRESS JR. M.D.
Provider Business Mailing Address
First Line : 10022 LAKE OCCOQUAN DR
Second Line :
City : MANASSAS
State : VA
Zip : 20111-2645
Country : US
Telephone Number : 703-581-2783
Fax Number :
Provider Business Practice Location Address
First Line : 10022 LAKE OCCOQUAN DR
Second Line :
City : MANASSAS
State : VA
Zip : 20111-2645
Country : US
Telephone Number : 703-581-2783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2005
Last Update Date : 07/21/2022

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