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Leslie George Gondor, MD
Specialist in Alexandria, Virginia
NPI 1265548804

Leslie George Gondor is a Specialist based in Alexandria, VA. Leslie George Gondor practices in Alexandria, VA and has the professional credentials of MD. The NPI Number for Leslie George Gondor is 1265548804 and holds a License No. 0101223709 (Virginia).

The current practice location address for Leslie George Gondor is 3541 W Braddock Rd, Alexandria, VA and can be reached out via phone at 703-379-6020 and via fax at 703-820-8799.

Location: 3541 W Braddock Rd, Alexandria, VA, 22302-1915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265548804
Provider Name
Leslie George Gondor
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3541 W Braddock Rd, Alexandria, VA, 22302-1915
Phone Number
703-379-6020
Fax Number
703-820-8799
Provider Enumeration Date
08/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0101223709 01 M.D. LICENSE
institution
Provider Business Practice Location Address Details
Address
3541 W Braddock Rd
City
Alexandria
State
Virginia
Zip
22302-1915
Phone Number
703-379-6020
Fax Number
703-820-8799
person
Provider Business Mailing Address Details
Address
3541 W Braddock Rd
City
Alexandria
State
Virginia
Zip
22302-1915
Phone Number
703-379-6020
Fax Number
703-820-8799
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
0101223709 (Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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