Northern Virginia Psychiatric Group Pc

NPI 1073653515 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1073653515
Enumeration Date 02/07/2007
Last Updated 11/10/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD RICHARD
Position EXECUTIVE DIRECTOR
Phone (703) 698-5220
Fax (703) 573-2351
Practice Location
7620 CARROLL AVE
SUITE 200
TAKOMA PARK MD, 20912-6387, US
Phone (703) 698-5220
Fax (703) 573-2351
Business Location
8500 EXECUTIVE PARK AVE
SUITE 200
FAIRFAX VA, 22031-2225, US
Phone (703) 698-5220
Fax (703) 573-2351
Toxanomy
Taxonomy Code 2084P0800X
License State
License Number
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According to our database, Northern Virginia Psychiatric Group Pc NPI is 1073653515, taxonomy code is 2084P0800X Northern Virginia Psychiatric Group Pc physically located at 7620 Carroll Ave, Takoma Park MD, 20912-6387. NPI Number 1033115704 has the healthcare provider type.

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1073653515 NPI number is provided on an as is basis without warranty of any kind. 1073653515 is maintained by the National Plan & Provider Enumeration System. The contents of Northern Virginia Psychiatric Group Pc are for informational purposes only.