| Jennifer Gorrelick, Md, Pllc | |
|
1800 Town Center Dr Ste 418 Reston VA 20190-3240 | |
| (703) 349-7434 | |
| (703) 382-8330 |
| Full Name | Jennifer Gorrelick, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Town Center Dr Ste 418, Reston, Virginia |
| Authorized Official Name and Position | Jennifer L Gorrelick (PHYSICIANS) |
| Authorized Official Contact | 7033497434 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Gorrelick, Md, Pllc 6625 Ivy Hill Dr Mc Lean VA 22101-5207 Ph: (703) 980-8993 | Jennifer Gorrelick, Md, Pllc 1800 Town Center Dr Ste 418 Reston VA 20190-3240 Ph: (703) 349-7434 |
| NPI Number | 1821696139 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
| Medicare PECOS PAC ID | 3274945076 |
|---|---|
| Medicare Enrollment ID | O20201221001377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821696139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer L Gorrelick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457399230 PECOS PAC ID: 9335232750 Enrollment ID: I20101117000427 |
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