Waldman, Jeffry T

Waldman, Jeffry T is an individual health care provider with primary practice located at 6201 Centreville Rd # 100, Centreville VA 20121-2446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Waldman, Jeffry T can be contacted via phone (703) 263-9600.

Contact Information

Primary practice address
6201 Centreville Rd # 100 Centreville VA 20121-2446
Phone: (703) 263-9600
Fax: (703) 266-1452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101050682 Virginia

Profile Details

NPI number 1548266117
LBN Legal business name Waldman, Jeffry T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Nov 27th, 2023 - about last year

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 1548266117 NPPES
Virginia MEDICAID 5618959
Virginia Other 285938

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