Provider Information for 1386194108
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JUDITH MCCALL-ROSENFELD
Sex: Female
NPI: 1386194108
Last Updated: 2016-10-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1386194108 | ||||||||
| Enumeration Date | 2016-10-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 20698 TALLY HO CT ASHBURN, VA 20147-3920 United States Phone: 571-723-3517 | Fax: | ||||||||
| Primary Practice Address | 5900 FORT DR CENTREVILLE, VA 20121-2425 United States Phone: 703-659-1292 | Fax: | ||||||||
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