| Stafford Internal Medical Services, Inc. | |
|
306 Garrisonville Rd Ste 102 Stafford VA 22554-1575 | |
| (540) 658-9340 | |
| (540) 658-9344 |
| Full Name | Stafford Internal Medical Services, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 306 Garrisonville Rd Ste 102, Stafford, Virginia |
| Authorized Official Name and Position | James Desimone (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5406589340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stafford Internal Medical Services, Inc. 306 Garrisonville Rd Ste 102 Stafford VA 22554-1575 Ph: (540) 658-9340 | Stafford Internal Medical Services, Inc. 306 Garrisonville Rd Ste 102 Stafford VA 22554-1575 Ph: (540) 658-9340 |
| NPI Number | 1801838529 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 06/10/2024 |
| Medicare PECOS PAC ID | 5991718959 |
|---|---|
| Medicare Enrollment ID | O20060718000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801838529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | James M Desimone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164475448 PECOS PAC ID: 7719990779 Enrollment ID: I20060718000072 |
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