Joann Pfundstein, Md, Llc | |
3020 Hamaker Ct Suite B102 Fairfax VA 22031-2238 | |
(571) 422-9324 | |
Not Available |
Full Name | Joann Pfundstein, Md, Llc |
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Speciality | Clinic/Center |
Location | 3020 Hamaker Ct, Fairfax, Virginia |
Authorized Official Name and Position | Joann Pfundstein (OWNER) |
Authorized Official Contact | 5714229324 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joann Pfundstein, Md, Llc 3020 Hamaker Ct Suite B102 Fairfax VA 22031-2238 Ph: (571) 422-9324 | Joann Pfundstein, Md, Llc 3020 Hamaker Ct Suite B102 Fairfax VA 22031-2238 Ph: (571) 422-9324 |
NPI Number | 1962857318 |
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Provider Enumeration Date | 05/03/2016 |
Last Update Date | 08/08/2016 |
Medicare PECOS PAC ID | 2365734795 |
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Medicare Enrollment ID | O20160706000430 |
Identifier | Type | State | Issuer |
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1962857318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 0101052483 (Virginia) | Primary |
Provider Name | Joann Pfundstein |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912900598 PECOS PAC ID: 9638271059 Enrollment ID: I20070302000332 |
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