Sanjeev M. Wasan, M.d., Plc

NPI #1114198033 in Potomac Falls, Virginia

Provider Information

NPI Number: 1114198033
Entity Type: Organization
Organization Name: Sanjeev M. Wasan, M.d., Plc
Primary Specialty: Specialist
Enumeration Date: Mar 19, 2008
Last Updated: Nov 5, 2008

Practice Location

Address: 46090 LAKE CENTER PLZ
Address 2: SUITE 201
City: Potomac Falls
State: Virginia
ZIP Code: 20165-5876
Phone: (703) 444-9502

Authorized Official

Name: DR. SANJEEV M. WASAN, M.D.
Title: OWNER
Phone: (703) 444-9502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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