Centreville Internal Medicine

NPI 1073712352 - Clinic/Center - 261QA0600X

NPI Details
NPI 1073712352
Enumeration Date 07/16/2007
Last Updated 08/09/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SUGKEE SUGKEE
Position DIRECTOR
Phone (703) 965-0180
Fax (703) 266-9003
Practice Location
13880 BRADDOCK RD STE 107
CENTREVILLE VA, 20121-2460, US
Phone (703) 965-0180
Fax (703) 266-9003
Business Location
13880 BRADDOCK RD STE 107
CENTREVILLE VA, 20121-2460, US
Phone (703) 965-0180
Fax (703) 266-9003
Toxanomy
Taxonomy Code 261QA0600X
License State Virginia
License Number 0101235830
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According to our database, Centreville Internal Medicine NPI is 1073712352, taxonomy code is 261QA0600X and license number is 0101235830, license state is located at Virginia. Centreville Internal Medicine physically located at 13880 Braddock Rd Ste 107, Centreville VA, 20121-2460. NPI Number 1033115704 has the healthcare provider type.

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1073712352 NPI number is provided on an as is basis without warranty of any kind. 1073712352 is maintained by the National Plan & Provider Enumeration System. The contents of Centreville Internal Medicine are for informational purposes only.