Maitland, Michael

Maitland, Michael is an individual health care provider with primary practice located at 8081 Innovation Park Dr , Fairfax VA 22031-4867. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Clinical Pharmacology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Maitland, Michael can be contacted via phone (571) 472-4724.

Contact Information

Primary practice address
8081 Innovation Park Dr Fairfax VA 22031-4867
Phone: (571) 472-4724
Fax: (571) 472-1601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 036-109601 Illinois
Allopathic & Osteopathic Physicians / Clinical Pharmacology 208U00000X 036-109601 Illinois
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 0101261271 Virginia

Profile Details

NPI number 1003851460
LBN Legal business name Maitland, Michael
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Nov 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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