Alexandria Infectious Disease Associates Pc | |
6300 Stevenson Ave Suite D Alexandria VA 22304-3554 | |
(703) 212-8750 | |
(703) 212-8752 |
Full Name | Alexandria Infectious Disease Associates Pc |
---|---|
Speciality | Internal Medicine |
Location | 6300 Stevenson Ave, Alexandria, Virginia |
Authorized Official Name and Position | Eric David Reines (PRESIDENT) |
Authorized Official Contact | 7032128750 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alexandria Infectious Disease Associates Pc 6300 Stevenson Ave Suite D Alexandria VA 22304-3554 Ph: (703) 212-8750 | Alexandria Infectious Disease Associates Pc 6300 Stevenson Ave Suite D Alexandria VA 22304-3554 Ph: (703) 212-8750 |
NPI Number | 1720171754 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 01/28/2015 |
Medicare PECOS PAC ID | 3870653025 |
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Medicare Enrollment ID | O20081118000874 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720171754 | NPI | - | NPPES |
A582 | Other | VA | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
Provider Name | Eric D Reines |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700889342 PECOS PAC ID: 5799845947 Enrollment ID: I20081118000863 |
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