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VIENNA PRIMARY AND PREVENTATIVE MEDICINE PLLC NPI 1437195468


NPI Information

NPI: 1437195468
Provider Name: VIENNA PRIMARY AND PREVENTATIVE MEDICINE, PLLC

Doing Business As: VIENNA PRIMARY AND PREVENTIVE MEDICINE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 49D1051520

Address:
243 CHURCH ST NW
SUITE 100C
VIENNA, VA
ZIP 22180
Phone: (703) 255-3067
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VIENNA PRIMARY AND PREVENTATIVE MEDICINE, PLLC is a primary care clinic center in Vienna, VA. VIENNA PRIMARY AND PREVENTATIVE MEDICINE, PLLC NPI is 1437195468. The provider is registered as an organization entity type.
The provider Is Doing Business As Vienna Primary And Preventive Medicine.

The provider's business location address is:

243 CHURCH ST NW
SUITE 100C
VIENNA, VA
ZIP 22180-434
Phone: (703) 255-3067
Fax: (703) 255-3069

The provider's authorized official is Micha Joffee .
The authorized official title is Manager and has the following contact phone number (703) 255-3067.

The CLIA number assigned to this NPI record is 49D1051520 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/20/2006 and was last updated on 8/22/2020.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care0101231123VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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