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Contact Information

IBRAHIM E ELFADIL JR, SA-C
13305 HUNTINGTON LN
WOODBRIDGE, VA22193
 Phone: 571-572-8176
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Assistant

246ZC0007X
Indicates primary specialty

NPI Profile & details for IBRAHIM E ELFADIL JR · (Male)

NPI Number 1528214533
Status Active
Credentials SA-C
Entity Individual
Enumeration date 08/09/2008
Last updated 02/23/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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