P. Anzalone  
  1 Chocorua Lane
  PO Box 332
  Merrimack, NH   03054


Richard Niemtzow
5903 Mount Eagle Drive Apt 404
Alexandria, VA 22303
United States
 

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Use shipping label above / retain application data below for your clipboard
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MADAR OPERATOR APPLICATION & SPECIAL INSTRUCTIONS FOR

Richard Niemtzow
5903 Mount Eagle Drive Apt 404
Alexandria, VA 22303
United States
Richard C. Niemtzow, MD, Ph.D., MPH
Colonel (ret), USAF, MC, FS
Integrative Medicine Consultant to the  USAF Surgeon General
Director, USAF Acupuncture & Integrative Med Center Joint Base Andrews, MD 
Assistant Professor Uniformed Services University of the Health Sciences
Former President AAMA
Editor-in-Chief: Medical Acupuncture
Senior Military Editor: Journal of Alternative and Complementary Medicine
E-Mail: N5EVMD@GMAIL.COM
MAC OS-10.141+VPN+Sophos Home Premium + Windows 10 +VPN+ Bitdefender Total Security+Bitdefender Box 2.
Residence: 5903 Mount Eagle Drive, Unit 404
Alexandria, VA, 22303 USA. Mobile:619-647-7274
E-FAX:1240-559-2300.

 SPECIAL INSTRUCTIONS:




 PROGRAMMING DATA:

 Alert Email address

n5evmd@gmail.com



 
Cell Phone Number
619-647-7274 is his mobile
is that same as cell?


 
Landline Phone Number (if provided)



  Geographic Coordinates in decimal format

Latitude: 38.789525, Longitude: -77.06858


END OF APPLICATION
Version dated 3 Nov 2018
Completed applications and shipping labels can be found at
http://www.nicap.org/madar/techsupport/