| Springfield Medical Clinic | |
|
6365 Rolling Mill Pl Suite 103 Springfield VA 22152-2353 | |
| (703) 569-7420 | |
| (301) 934-9321 |
| Full Name | Springfield Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 6365 Rolling Mill Pl, Springfield, Virginia |
| Authorized Official Name and Position | Rosario C Ferrer (OWNER) |
| Authorized Official Contact | 7035697420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Medical Clinic 6365 Rolling Mill Pl Suite 103 Springfield VA 22152-2353 Ph: (703) 569-7420 | Springfield Medical Clinic 6365 Rolling Mill Pl Suite 103 Springfield VA 22152-2353 Ph: (703) 569-7420 |
| NPI Number | 1043336639 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0143497511 |
|---|---|
| Medicare Enrollment ID | O20120126000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043336639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101038129 (Virginia) | Primary |
| Provider Name | Rosario Ferrer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699848804 PECOS PAC ID: 2466627906 Enrollment ID: I20111212000156 |
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