| Edward Barbano, M.d., P.c. | |
|
8996 Burke Lake Rd Suite 102 Burke VA 22015-1607 | |
| (703) 764-2111 | |
| (703) 764-1418 |
| Full Name | Edward Barbano, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 8996 Burke Lake Rd, Burke, Virginia |
| Authorized Official Name and Position | Edward Francis Barbano (PRESIDENT) |
| Authorized Official Contact | 7037642111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Barbano, M.d., P.c. 8996 Burke Lake Rd Suite 102 Burke VA 22015-1607 Ph: (703) 764-2111 | Edward Barbano, M.d., P.c. 8996 Burke Lake Rd Suite 102 Burke VA 22015-1607 Ph: (703) 764-2111 |
| NPI Number | 1477751824 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153510284 |
|---|---|
| Medicare Enrollment ID | O20110106000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477751824 | NPI | - | NPPES |
| 5828520 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101049038 (Virginia) | Primary |
| Provider Name | Edward F Barbano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891758496 PECOS PAC ID: 4688863723 Enrollment ID: I20110106000164 |
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