| Belle Haven Family Medicine | |
|
2867 Duke St Alexandria VA 22314-4512 | |
| (703) 212-7397 | |
| (703) 212-7399 |
| Full Name | Belle Haven Family Medicine |
|---|---|
| Speciality | Clinic/center |
| Location | 2867 Duke St, Alexandria, Virginia |
| Authorized Official Name and Position | Warren Basil Shaffer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7032127397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Belle Haven Family Medicine 2867 Duke St Alexandria VA 22314-4512 Ph: (703) 212-7397 | Belle Haven Family Medicine 2867 Duke St Alexandria VA 22314-4512 Ph: (703) 212-7397 |
| NPI Number | 1184769200 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184769200 | NPI | - | NPPES |
| 0101057177 | Other | VA | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0101057177 (Virginia) | Primary |
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