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1936 Opitz Blvd Ste A Woodbridge VA 22191-3360 | |
| (703) 491-7744 | |
| (703) 492-1046 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1936 Opitz Blvd Ste A, Woodbridge, Virginia |
| Authorized Official Name and Position | Cindy A Taylor (MANAGER) |
| Authorized Official Contact | 7572523344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1936 Opitz Blvd Ste A Woodbridge VA 22191-3360 Ph: (703) 491-7744 | 1936 Opitz Blvd Ste A Woodbridge VA 22191-3360 Ph: (703) 491-7744 |
| NPI Number | 1851699227 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 05/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851699227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Secondary |
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