COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T NPI 1811171309

NPI Information

COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T is a geriatric medicine internal medicine in Fairfax, VA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T NPI is 1811171309. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9901 BRADDOCK RD
FAIRFAX, VA
ZIP 22032-904
Phone: (703) 323-4093

The provider's authorized official is Shaquwanda Baker .
The authorized official title is Office Manager and has the following contact phone number (703) 323-4093.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 6/19/2008.

Taxonomy Codes

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Other Identifiers

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