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1800 North Beauregard Street, Suite 250 Alexandria VA 22311-5879 | |
(703) 370-2400 | |
(703) 370-7214 |
Full Name | |
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Speciality | Family Medicine |
Location | 1800 North Beauregard Street, Suite 250, Alexandria, Virginia |
Authorized Official Name and Position | Mary Beth Tamasy (CEO) |
Authorized Official Contact | 7037376010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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224d Cornwall St Nw Ste 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | 1800 North Beauregard Street, Suite 250 Alexandria VA 22311-5879 Ph: (703) 370-2400 |
NPI Number | 1528391166 |
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Provider Enumeration Date | 09/15/2009 |
Last Update Date | 04/24/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528391166 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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