| Novamed Associates Pc | |
|
8316 Arlington Blvd Suite 310 Fairfax VA 22031-5207 | |
| (703) 641-0333 | |
| (703) 573-3316 |
| Full Name | Novamed Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 8316 Arlington Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Bradford Scott Pontz (PRESIDENT, NOVAMED ASSOCIATES, P.C.) |
| Authorized Official Contact | 7036410333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novamed Associates Pc 8316 Arlington Blvd Suite 310 Fairfax VA 22031-5207 Ph: (703) 641-0333 | Novamed Associates Pc 8316 Arlington Blvd Suite 310 Fairfax VA 22031-5207 Ph: (703) 641-0333 |
| NPI Number | 1871562223 |
|---|---|
| Provider Enumeration Date | 03/17/2006 |
| Last Update Date | 07/23/2012 |
| Medicare PECOS PAC ID | 5799770657 |
|---|---|
| Medicare Enrollment ID | O20040419001434 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871562223 | NPI | - | NPPES |
| 202332 | Other | VA | ANTHEM GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Bradford S Pontz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225097298 PECOS PAC ID: 4587659453 Enrollment ID: I20040419001461 |
| Provider Name | Eric S Vallone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598825655 PECOS PAC ID: 9830287812 Enrollment ID: I20071109000191 |
| Provider Name | Priya Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346407418 PECOS PAC ID: 1355499229 Enrollment ID: I20101208000086 |
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