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Primary Practice Address
12040 S LAKES DR SUITE 195
RESTON, VA 20191-1246 US
PECOS Enrolled

Mark Emanuel Vasiliadis

Family Medicine Physician


Mark Emanuel Vasiliadis

Overview

Mark Emanuel Vasiliadis is a Family Medicine Physician in the RESTON area. Mark Emanuel Vasiliadis primary office location is at 12040 S LAKES DR and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1639241771 and the information was updated approximately 3 years ago.

We have not detected any Exclusions tied directly to this NPI.

Accepts Medicare Assignment: Unknown

Is sole proprietor: NO

Participates in PECOS: YES (See any PECOS details below)

Contact Information

Primary Practice Location Information
12040 S LAKES DR SUITE 195
RESTON, VA 20191-1246 US
Phone: (703)-230-0347
Fax:
Practice Mailing Information
12040 S LAKES DR STE 204
RESTON, VA 20191-1246 US
Phone: (703)-230-0347
Fax: (703)-230-0350
License Number State
0101050406 VA