| Family Care Of Fredericksburg, Plc | |
|
2216 Princess Anne St Suite 106 Fredericksburg VA 22401-3300 | |
| (540) 840-9815 | |
| (540) 371-3748 |
| Full Name | Family Care Of Fredericksburg, Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 2216 Princess Anne St, Fredericksburg, Virginia |
| Authorized Official Name and Position | Daniel G. Muldoon (PRESIDENT) |
| Authorized Official Contact | 5408409815 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Care Of Fredericksburg, Plc 2216 Princess Anne St Suite 106 Fredericksburg VA 22401-3300 Ph: (540) 840-9815 | Family Care Of Fredericksburg, Plc 2216 Princess Anne St Suite 106 Fredericksburg VA 22401-3300 Ph: (540) 840-9815 |
| NPI Number | 1487093670 |
|---|---|
| Provider Enumeration Date | 06/20/2013 |
| Last Update Date | 06/20/2013 |
| Medicare PECOS PAC ID | 1951544709 |
|---|---|
| Medicare Enrollment ID | O20130827000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487093670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Daniel G. Muldoon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154384089 PECOS PAC ID: 8426244005 Enrollment ID: I20101122000555 |
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