Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 0101050991 | VA |
NPI | 1003899840 |
---|---|
Provider Name | Marc C Alembik |
First Address | Woodbridge, VA 22191 |
Second Address | Woodbridge, VA 22191 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/11/2005 |
Last Update Date | 14/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
006202403 | (05) | VA |