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ALOK RUSTOGI MD

Physicians Internal Medicine Adolescent Medicine

Provider NPI: 1730116575

Provider Information:
 ALOK  RUSTOGI MD
Gender: M
Not Sole Proprietor

Practice Location:
46090 LAKE CENTER PLZ 201 POTOMAC FALLS, VA 20165-5876 US
Tel: 703-489-0508  Fax: --

Business Mailing Address:
46090 LAKE CENTER PLZ 201 POTOMAC FALLS, VA 20165-5876 US
Tel: 703-489-0508  Fax: 703-468-1061

NPI Information:
NPI: 1730116575
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207RA0000XPhysicians
Internal Medicine
Adolescent Medicine
VA0101236706

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE RAILROADP0038257301
ANTHEM BC206438VA01
10270880VA05



American Medical Association 2012 taxonomy code information

Code: 207RA0000X

Type:

Classification:



Definition:



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