| Vienna Family Medicine | |
|
115 Park Street Suite 300 Vienna VA 22180 | |
| (703) 255-9100 | |
| (703) 255-3457 |
| Full Name | Vienna Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 115 Park Street, Vienna, Virginia |
| Authorized Official Name and Position | James P Jenkins (PRESIDENT) |
| Authorized Official Contact | 7032559100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vienna Family Medicine Po Box 791128 Baltimore MD 21279-1128 Ph: (703) 255-9100 | Vienna Family Medicine 115 Park Street Suite 300 Vienna VA 22180 Ph: (703) 255-9100 |
| NPI Number | 1013032283 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013032283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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