Ashton Avenue Family Medicine | |
8100 Ashton Ave Suite 207 Manassas VA 20109-5622 | |
(703) 334-5801 | |
(703) 334-5805 |
Full Name | Ashton Avenue Family Medicine |
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Speciality | Family Medicine |
Location | 8100 Ashton Ave, Manassas, Virginia |
Authorized Official Name and Position | Susan Fitzgerald (PRESIDENT) |
Authorized Official Contact | 7033345801 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ashton Avenue Family Medicine 6729 25th St N Arlington VA 22213-1102 Ph: (703) 533-1550 | Ashton Avenue Family Medicine 8100 Ashton Ave Suite 207 Manassas VA 20109-5622 Ph: (703) 334-5801 |
NPI Number | 1083896476 |
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Provider Enumeration Date | 11/28/2007 |
Last Update Date | 11/28/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083896476 | NPI | - | NPPES |
309288 | Other | VA | ANTHEM BC/BS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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