Gradzka, Malgorzata

Gradzka, Malgorzata is an sole proprietor health care provider with primary practice located at 3620 Joseph Siewick Dr Suite 401, Fairfax VA 22033-1756. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Gradzka, Malgorzata can be contacted via phone (703) 648-9800.

Contact Information

Primary practice address
3620 Joseph Siewick Dr Suite 401 Fairfax VA 22033-1756
Phone: (703) 648-9800
Fax: (703) 648-9808
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 0101056754 Virginia

Profile Details

NPI number 1376724062
LBN Legal business name Gradzka, Malgorzata
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2007
Last updated Nov 2nd, 2009 - about 16 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 1376724062 NPPES
Virginia MEDICAID 005853940
Virginia Other 271949

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