Brudno, Douglas Spencer

Brudno, Douglas Spencer is an individual health care provider with primary practice located at 3300 Gallows Rd , Falls Church VA 22042-3307. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Brudno, Douglas Spencer can be contacted via phone (703) 289-1400.

Contact Information

Primary practice address
3300 Gallows Rd Falls Church VA 22042-3307
Phone: (703) 289-1400
Fax: (703) 289-1414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 0101231080 Virginia

Profile Details

NPI number 1447207253
LBN Legal business name Brudno, Douglas Spencer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447207253 NPPES
Virginia MEDICAID 6718167
Virginia MEDICAID 6719996
Virginia MEDICAID 6720093

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