Internal Medicine Of Fair Oaks, Llc | |
3700 Joseph Siewick Dr Suite 402 Fairfax VA 22033-1744 | |
(703) 716-5404 | |
Not Available |
Full Name | Internal Medicine Of Fair Oaks, Llc |
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Speciality | Internal Medicine |
Location | 3700 Joseph Siewick Dr, Fairfax, Virginia |
Authorized Official Name and Position | Thienquang Le (MANAGING PARTNER) |
Authorized Official Contact | 7037165404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Internal Medicine Of Fair Oaks, Llc 3700 Joseph Siewick Dr Suite 402 Fairfax VA 22033-1744 Ph: (703) 716-5404 | Internal Medicine Of Fair Oaks, Llc 3700 Joseph Siewick Dr Suite 402 Fairfax VA 22033-1744 Ph: (703) 716-5404 |
NPI Number | 1962647362 |
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Provider Enumeration Date | 12/13/2008 |
Last Update Date | 12/13/2008 |
Identifier | Type | State | Issuer |
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1962647362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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