BEAUREGARD MEDICAL CENTER LTD NPI 1780708024

NPI Information

BEAUREGARD MEDICAL CENTER, LTD is a general practice in Alexandria, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BEAUREGARD MEDICAL CENTER, LTD NPI is 1780708024. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3450 N BEAUREGARD ST
ALEXANDRIA, VA
ZIP 22302-200
Phone: (703) 820-7000
Fax: (703) 820-5564

The provider's authorized official is John S Pulizzi .
The authorized official title is President and has the following contact phone number (703) 824-9397.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 11/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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