| James B. Blitch, Jr., M.d, Pc | |
|
1810 Michael Faraday Dr Suite 204 Reston VA 20190-5353 | |
| (703) 435-4434 | |
| (703) 435-1704 |
| Full Name | James B. Blitch, Jr., M.d, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1810 Michael Faraday Dr, Reston, Virginia |
| Authorized Official Name and Position | James Blitch (PRESIDENT) |
| Authorized Official Contact | 7034354434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James B. Blitch, Jr., M.d, Pc 1810 Michael Faraday Dr Suite 204 Reston VA 20190-5353 Ph: (703) 435-4434 | James B. Blitch, Jr., M.d, Pc 1810 Michael Faraday Dr Suite 204 Reston VA 20190-5353 Ph: (703) 435-4434 |
| NPI Number | 1912269598 |
|---|---|
| Provider Enumeration Date | 06/11/2012 |
| Last Update Date | 06/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912269598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101020508 (Virginia) | Primary |
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