| Joanne G. Crantz M.d. Llc | |
|
8316 Arlington Blvd 615 Fairfax VA 22031-5207 | |
| (703) 560-8877 | |
| (703) 560-8869 |
| Full Name | Joanne G. Crantz M.d. Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8316 Arlington Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Joanne G Crantz (PHYSICIAN) |
| Authorized Official Contact | 7035608877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne G. Crantz M.d. Llc 8316 Arlington Blvd 615 Fairfax VA 22031-5207 Ph: (703) 560-8877 | Joanne G. Crantz M.d. Llc 8316 Arlington Blvd 615 Fairfax VA 22031-5207 Ph: (703) 560-8877 |
| NPI Number | 1962770180 |
|---|---|
| Provider Enumeration Date | 12/02/2011 |
| Last Update Date | 12/14/2011 |
| Medicare PECOS PAC ID | 6901073725 |
|---|---|
| Medicare Enrollment ID | O20120119000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962770180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101038714 (Virginia) | Primary |
| Provider Name | Joanne G Crantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417926858 PECOS PAC ID: 4082761820 Enrollment ID: I20100323000066 |
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