MID- ATLANTIC MEDICAL GROUP LLC NPI 1407143910

NPI Information

MID- ATLANTIC MEDICAL GROUP LLC is a specialist in Arlington, VA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID- ATLANTIC MEDICAL GROUP LLC NPI is 1407143910. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3301 WILSON BLVD
ARLINGTON, VA
ZIP 22201-228
Phone: (703) 276-7798
Fax: (703) 243-7503

The provider's authorized official is Robert P Holman .
The authorized official title is Medical Director and has the following contact phone number (703) 901-6299.

The enumeration date for this NPI number is 7/5/2011 and was last updated on 1/11/2012.

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:

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