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ZACHARY T HOLLIS M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1104142744

Individual Registrant:
 ZACHARY T HOLLIS M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
8081 INNOVATION PARK DR STE 602  FAIRFAX, VA 22031-4867 US
Tel: 571-472-3270  Fax: 571-472-3271

Contact information for business:
PO BOX 37174  BALTIMORE, MD 21297-3174 US
Tel: 571-423-5699  Fax: 571-423-5698

Registration Information:
NPI: 1104142744
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
VA0101265236
N207RC0000XAllopathic & Osteopathic Physicians
Internal Medicine
VA0101265236
Y207RC0001XAllopathic & Osteopathic Physicians
Internal Medicine
VA0101265236

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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