Personalized Family Medicine, P.c. | |
605 Emancipation Hwy Ste 201 Fredericksburg VA 22401-8403 | |
(540) 371-4488 | |
(540) 368-0326 |
Full Name | Personalized Family Medicine, P.c. |
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Speciality | Family Medicine |
Location | 605 Emancipation Hwy Ste 201, Fredericksburg, Virginia |
Authorized Official Name and Position | Steven Ma (PHYSICIAN/OWNER) |
Authorized Official Contact | 5403682011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Personalized Family Medicine, P.c. 605 Jefferson Davis Hwy Suite 201 Fredericksburg VA 22401-8403 Ph: (540) 368-2011 | Personalized Family Medicine, P.c. 605 Emancipation Hwy Ste 201 Fredericksburg VA 22401-8403 Ph: (540) 371-4488 |
NPI Number | 1356371686 |
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Provider Enumeration Date | 07/03/2006 |
Last Update Date | 06/05/2024 |
Medicare PECOS PAC ID | 8527034289 |
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Medicare Enrollment ID | O20040903000866 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356371686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0101233607 (Virginia) | Primary |
Provider Name | Steven J Ma |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609864669 PECOS PAC ID: 1153397815 Enrollment ID: I20040903000890 |
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