Kingstowne Internal Medicine | |
5901 Kingstowne Village Parkway, Suite 300 Kingstowne VA 22315-5883 | |
(571) 384-6304 | |
(571) 384-6309 |
Full Name | Kingstowne Internal Medicine |
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Speciality | Internal Medicine |
Location | 5901 Kingstowne Village Parkway, Suite 300, Kingstowne, Virginia |
Authorized Official Name and Position | Mary Beth Tamasy (CEO) |
Authorized Official Contact | 7037376010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kingstowne Internal Medicine 224 D Cornwall Street Nw Ste 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Kingstowne Internal Medicine 5901 Kingstowne Village Parkway, Suite 300 Kingstowne VA 22315-5883 Ph: (571) 384-6304 |
NPI Number | 1841560299 |
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Provider Enumeration Date | 01/03/2012 |
Last Update Date | 04/24/2023 |
Identifier | Type | State | Issuer |
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1841560299 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |