North Virginia Family Practice Pc

NPI 1417112236 - Family Medicine - 207Q00000X

NPI Details
NPI 1417112236
Enumeration Date 07/21/2008
Last Updated 07/21/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TEJAS J TEJAS
Position DIRECTOR, CEO
Phone (703) 580-0124
Fax (703) 580-0126
Practice Location
4331 RIDGEWOOD CENTER DR
WOODBRIDGE VA, 22192-5308, US
Phone (703) 580-0124
Fax (703) 580-0126
Business Location
4331 RIDGEWOOD CENTER DR
WOODBRIDGE VA, 22192-5308, US
Phone (703) 580-0124
Fax (703) 580-0126
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 0101235482
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According to our database, North Virginia Family Practice Pc NPI is 1417112236, taxonomy code is 207Q00000X and license number is 0101235482, license state is located at Virginia. North Virginia Family Practice Pc physically located at 4331 Ridgewood Center Dr, Woodbridge VA, 22192-5308. NPI Number 1033115704 has the healthcare provider type.

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1417112236 NPI number is provided on an as is basis without warranty of any kind. 1417112236 is maintained by the National Plan & Provider Enumeration System. The contents of North Virginia Family Practice Pc are for informational purposes only.