| Potomac Medical Center Pc | |
|
6404 Seven Corners Place #g Falls Church VA 22044 | |
| (703) 237-2488 | |
| (703) 237-2492 |
| Full Name | Potomac Medical Center Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6404 Seven Corners Place, Falls Church, Virginia |
| Authorized Official Name and Position | Richard Phay Tu (SECRETARY) |
| Authorized Official Contact | 7032372488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Medical Center Pc 6404 Seven Corners Pl #g Falls Church VA 22044-2034 Ph: (703) 237-2488 | Potomac Medical Center Pc 6404 Seven Corners Place #g Falls Church VA 22044 Ph: (703) 237-2488 |
| NPI Number | 1619078003 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3678749173 |
|---|---|
| Medicare Enrollment ID | O20120508000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619078003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RA0201X | Internal Medicine - Allergy & Immunology | (* (Not Available)) | Primary |
| Provider Name | Lan C Tu |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1184735334 PECOS PAC ID: 3678734712 Enrollment ID: I20120417000140 |
| Provider Name | Richard P Tu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104937358 PECOS PAC ID: 2769644582 Enrollment ID: I20120424000310 |
Seven Corners Medical Center, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6045 Arlington Blvd, Falls Church, VA 22044 Phone: 703-237-7900 Fax: 703-237-0821 | |
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