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CLIFFORD LADER MD

Physicians Radiology Body Imaging

Provider NPI: 1104844125

Provider Information:
 CLIFFORD  LADER MD
Gender: M
Not Sole Proprietor

Practice Location:
2722 MERRILEE DR SUITE 230 FAIRFAX, VA 22031-4400 US
Tel: 703-698-0056  Fax: 703-573-0880

Business Mailing Address:
PO BOX 3650  MERRIFIELD, VA 22116-3650 US
Tel: 703-698-0056  Fax: 703-573-0880

NPI Information:
NPI: 1104844125
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N2085B0100XPhysicians
Radiology
Body Imaging
VA0101035963
N2085N0700XPhysicians
Radiology
VA0101035963
N2085N0904XPhysicians
Radiology
VA0101035963
N2085P0229XPhysicians
Radiology
VA0101035963
Y2085R0202XPhysicians
Radiology
VA0101035963
N2085R0204XPhysicians
Radiology
VA0101035963
N2085U0001XPhysicians
Radiology
VA0101035963

Other Provider Identifiers:

IssuerNumberStateType
CAREFIRST3995 0015VA01



American Medical Association 2012 taxonomy code information

Code: 2085R0202X

Type:

Classification:



Definition:



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