Physicians Premiere Weight And Wellness Center | |
21035 Sycolin Road, Suite 180 Ashburn VA 20147-4311 | |
(703) 783-5673 | |
(703) 297-3919 |
Full Name | Physicians Premiere Weight And Wellness Center |
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Speciality | Family Medicine |
Location | 21035 Sycolin Road, Suite 180, Ashburn, 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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Physicians Premiere Weight And Wellness Center 224-d Cornwall Street, Nw Suite 403 Leesburg VA 20176-2704 Ph: (703) 737-6010 | Physicians Premiere Weight And Wellness Center 21035 Sycolin Road, Suite 180 Ashburn VA 20147-4311 Ph: (703) 783-5673 |
NPI Number | 1285382820 |
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Provider Enumeration Date | 03/14/2022 |
Last Update Date | 08/18/2023 |
Identifier | Type | State | Issuer |
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1285382820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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