COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T

Internal Medicine - Geriatric Medicine

Active Organization
NPI: 1811171309

Practice Address

9901 BRADDOCK RD
Fairfax, VA 22032

Phone: (703) 323-4093

Specialties

Specialty Code Primary License
Pediatrics 208000000X No 0101040712 (VA)
Psychiatry & Neurology - Neurology 2084N0400X No 0101046923 (VA)
Psychiatry & Neurology - Neurodevelopmental Disabilities 2084P0005X No 0101034545 (VA)
Internal Medicine - Geriatric Medicine 207RG0300X Yes 0101233274 (VA)

Frequently Asked Questions

NPI 1811171309 is the National Provider Identifier for COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T, a Internal Medicine - Geriatric Medicine provider located in Fairfax, VA. This NPI was enumerated on December 20, 2007.

Quick Facts

NPI
1811171309
Type
Organization
Enumerated
Dec 20, 2007
Last Updated
Jun 19, 2008

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