NPI 1316063670

Gerald Denis Willett, MD

Practitioner Anatomic Pathology Physician Fairfax, VA

Practice location

Address: 5241 Kaywood CT, Fairfax, VA 22032-2619
Phone: (703) 978-4110

Registered specialties

Anatomic Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0101X Licence 0101038695 (VA)

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Registry record

NPI: 1316063670
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.