Woodbridge Primary Care Pllc

NPI 1043699168 - Internal Medicine - 207R00000X

NPI Details
NPI 1043699168
Enumeration Date 05/21/2015
Last Updated 05/21/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name NIZAR M NIZAR
Position MD
Phone (703) 494-4116
Fax (703) 497-0051
Practice Location
2000 OPITZ BLVD
WOODBRIDGE VA, 22191-3306, US
Phone (703) 494-4116
Fax (703) 497-0051
Business Location
2000 OPITZ BLVD
WOODBRIDGE VA, 22191-3306, US
Phone (703) 494-4116
Fax (703) 497-0051
Toxanomy
Taxonomy Code 207R00000X
License State Virginia
License Number 0101225617
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According to our database, Woodbridge Primary Care Pllc NPI is 1043699168, taxonomy code is 207R00000X and license number is 0101225617, license state is located at Virginia. Woodbridge Primary Care Pllc physically located at 2000 Opitz Blvd, Woodbridge VA, 22191-3306. NPI Number 1033115704 has the healthcare provider type.

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1043699168 NPI number is provided on an as is basis without warranty of any kind. 1043699168 is maintained by the National Plan & Provider Enumeration System. The contents of Woodbridge Primary Care Pllc are for informational purposes only.