| Gastroenterology Consultants Of Northern Virginia Plc | |
|
4001 Fair Ridge Dr #206 Fairfax VA 22033-2917 | |
| (703) 262-0200 | |
| (703) 262-0211 |
| Full Name | Gastroenterology Consultants Of Northern Virginia Plc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 4001 Fair Ridge Dr, Fairfax, Virginia |
| Authorized Official Name and Position | Charles Jun Huh (OWNER) |
| Authorized Official Contact | 7032620200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Consultants Of Northern Virginia Plc 4001 Fair Ridge Dr #206 Fairfax VA 22033-2917 Ph: (703) 262-0200 | Gastroenterology Consultants Of Northern Virginia Plc 4001 Fair Ridge Dr #206 Fairfax VA 22033-2917 Ph: (703) 262-0200 |
| NPI Number | 1881634053 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 03/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881634053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 0101232518 (Virginia) | Primary |
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