Fredericksburg Primary Care, P.c. | |
2500 Charles St Fredericksburg VA 22401-3312 | |
(540) 374-8140 | |
(540) 374-8190 |
Full Name | Fredericksburg Primary Care, P.c. |
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Speciality | Internal Medicine |
Location | 2500 Charles St, Fredericksburg, Virginia |
Authorized Official Name and Position | Patricia A Szafranski (OFFICE MANAGER) |
Authorized Official Contact | 5403748140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fredericksburg Primary Care, P.c. 2500 Charles St Fredericksburg VA 22401-3312 Ph: (540) 374-8140 | Fredericksburg Primary Care, P.c. 2500 Charles St Fredericksburg VA 22401-3312 Ph: (540) 374-8140 |
NPI Number | 1447297916 |
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Provider Enumeration Date | 06/01/2006 |
Last Update Date | 04/08/2011 |
Medicare PECOS PAC ID | 3072589878 |
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Medicare Enrollment ID | O20040902001145 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447297916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101055279 (Virginia) | Primary |
Provider Name | Joseph M Ferguson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811986441 PECOS PAC ID: 7315913118 Enrollment ID: I20040903000168 |
Provider Name | Santha K Allagadda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013297696 PECOS PAC ID: 7416107842 Enrollment ID: I20121022000110 |
Provider Name | Janakiben Patel |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306367255 PECOS PAC ID: 7113260282 Enrollment ID: I20190514001278 |
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