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DR. IVAN PETER HARNDEN M.D.

Gastroenterology >> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1568781706

Individual Registrant:
DR. IVAN PETER HARNDEN M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3700 JOSEPH SIEWICK DR SUITE 308 FAIRFAX, VA 22033-1744 US
Tel: 703-641-8427  Fax: 703-641-8427

Contact information for business:
3700 JOSEPH SIEWICK DR SUITE 308 FAIRFAX, VA 22033-1744 US
Tel: 703-641-8427  Fax: 703-641-8427

Registration Information:
NPI: 1568781706
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207RG0100XAllopathic & Osteopathic Physicians
Internal Medicine
Gastroenterology
NC165250
N390200000XStudent
Organized Health Care Education/Training Program
Y207RG0100XAllopathic & Osteopathic Physicians
Internal Medicine
VA0101260550

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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