Privia Medical Group, Llc | |
172 Thomas Johnson Dr Ste 100 Frederick MD 21702-4405 | |
(301) 694-0900 | |
Not Available |
Full Name | Privia Medical Group, Llc |
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Speciality | Psychiatry & Neurology - Sleep Medicine |
Location | 172 Thomas Johnson Dr Ste 100, Frederick, Maryland |
Authorized Official Name and Position | Maria Gabbai (ENROLLMENT MANAGER) |
Authorized Official Contact | 4845699066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Privia Medical Group, Llc 950 N Glebe Rd Ste 700 Arlington VA 22203-4173 Ph: (571) 982-6636 | Privia Medical Group, Llc 172 Thomas Johnson Dr Ste 100 Frederick MD 21702-4405 Ph: (301) 694-0900 |
NPI Number | 1689436032 |
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Provider Enumeration Date | 01/30/2024 |
Last Update Date | 01/30/2024 |
Certification Date | 01/30/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689436032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084S0012X | Psychiatry & Neurology - Sleep Medicine | (* (Not Available)) | Primary |
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