Provider Demographics
NPI:1912062142
Name:BARTLETT, DONALD E JR (MD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:E
Last Name:BARTLETT
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:3421 CEDAR CREST LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-1622
Mailing Address - Country:US
Mailing Address - Phone:703-391-1533
Mailing Address - Fax:703-391-1534
Practice Address - Street 1:4213 WALNEY RD
Practice Address - Street 2:
Practice Address - City:CHANTILLY
Practice Address - State:VA
Practice Address - Zip Code:20151-2923
Practice Address - Country:US
Practice Address - Phone:703-502-7000
Practice Address - Fax:703-502-7055
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101039372207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine