| Vip Imed Center | |
|
8303 Arlington Blvd Suite 110 Fairfax VA 22031-4645 | |
| (703) 207-4646 | |
| (703) 563-7467 |
| Full Name | Vip Imed Center |
|---|---|
| Speciality | General Practice |
| Location | 8303 Arlington Blvd, Fairfax, Virginia |
| Authorized Official Name and Position | Victoria Borisovna (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7032074646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Imed Center 8303 Arlington Blvd Suite 110 Fairfax VA 22031-2903 Ph: (703) 207-4646 | Vip Imed Center 8303 Arlington Blvd Suite 110 Fairfax VA 22031-4645 Ph: (703) 207-4646 |
| NPI Number | 1669804159 |
|---|---|
| Provider Enumeration Date | 08/06/2013 |
| Last Update Date | 02/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669804159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0101255440 (Virginia) | Primary |
| 208D00000X | General Practice | 101055521 (Virginia) | Secondary |
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