Potomac Village Family Practice Pc in Woodbridge - Family Medicine

Potomac Village Family Practice Pc - NPI 1982810016

Potomac Village Family Practice Pc is a Family Medicine in Woodbridge, Virginia. Potomac Village Family Practice Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Potomac Village Family Practice Pc is 1982810016. The last update date is 2007-09-20.

Potomac Village Family Practice Pc's current location address is 2010 Opitz Blvd Ste A, Woodbridge, Virginia. You can contact this provider via phone number 7034941028. The mailing address for Potomac Village Family Practice Pc is 2010 Opitz Blvd Ste A, Woodbridge, Virginia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Potomac Village Family Practice Pc
Address 2010 Opitz Blvd Ste A, Woodbridge, Virginia
Phone Number 7034941028
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Chandler Marie Kathleen
Telephone Number 7034941028

NPI Number Detail

NPI Number 1982810016
Provider Enumeration Date 2007-05-15
Last Updated Date 2007-09-20

Provider Mailing Address Detail

Address 2010 Opitz Blvd Ste A
City Woodbridge
State Virginia (VA)
Post Code 221913359
Phone Number 7034941028
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 07L15218
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5676410 VA --
36099 VI ANTHEM BLUE CROSS

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FAQs about Potomac Village Family Practice Pc

What is the Potomac Village Family Practice Pc's 1982810016?

The Potomac Village Family Practice Pc's NPI (National Provider Identifier) Number is 1982810016. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Potomac Village Family Practice Pc is physically located?

The Potomac Village Family Practice Pc is situated at the following address: 2010 Opitz Blvd Ste A, Woodbridge, VA 221913359.

What is Potomac Village Family Practice Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Potomac Village Family Practice Pc is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did the Potomac Village Family Practice Pc receive its 1982810016 assignment from the Centers for Medicare & Medicaid Services?

The Potomac Village Family Practice Pc was assigned its 1982810016 by the Centers for Medicare & Medicaid Services on 2007-05-15.

When was the information regarding Potomac Village Family Practice Pc most recently updated?

The details pertaining to the Potomac Village Family Practice Pc, including its address, specialty, and other relevant information, were last refreshed on 2007-09-20.

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