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NPI Code Detail

MEDICARE: NOEMI S. DOSOVA M.D.

MEDICARE: NOEMI S. DOSOVA 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
1208000000XPediatrics Physician0101037733VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871596692
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEMI S. DOSOVA M.D.
Provider Business Mailing Address
First Line : 3650 JOSEPH SIEWICK DR
Second Line : STE 101
City : FAIRFAX
State : VA
Zip : 22033-1700
Country : US
Telephone Number : 703-391-0900
Fax Number : 703-323-2665
Provider Business Practice Location Address
First Line : 3650 JOSEPH SIEWICK DR
Second Line : STE 101
City : FAIRFAX
State : VA
Zip : 22033-1700
Country : US
Telephone Number : 703-391-0900
Fax Number : 703-323-2665
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/08/2007

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Directions to “ NOEMI S. DOSOVA M.D.” Practice Location

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