| Northwest Internists Llc | |
|
1313 Dolley Madison Blvd Suite 302 Mc Lean VA 22101-3953 | |
| (703) 356-2037 | |
| (703) 734-8987 |
| Full Name | Northwest Internists Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1313 Dolley Madison Blvd, Mc Lean, Virginia |
| Authorized Official Name and Position | Thomas M Masterson (DIRECTOR) |
| Authorized Official Contact | 7033562037 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Internists Llc Po Box 487 Mc Lean VA 22101-0487 Ph: (703) 356-2037 | Northwest Internists Llc 1313 Dolley Madison Blvd Suite 302 Mc Lean VA 22101-3953 Ph: (703) 356-2037 |
| NPI Number | 1770536724 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 11/07/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770536724 | NPI | - | NPPES |
| 0101038350 | Other | VA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0101038350 (Virginia) | Primary |
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