COMMONWEALTH OF VIRGINIA DEPT OF MENTAL HEALTH AND NORTHERN VIRGINIA T
Organization (NPI-2)
Active
Internal Medicine, Geriatric Medicine
Provider Information
- NPI Number
1811171309- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 9901 BRADDOCK RD, FAIRFAX, VA, 220321904
- Phone
- (703) 323-4093
Specialties & Taxonomies
Pediatrics
License: VA #0101040712
Psychiatry & Neurology, Neurology
License: VA #0101046923
Psychiatry & Neurology, Neurodevelopmental Disabilities
License: VA #0101034545
Internal Medicine, Geriatric Medicine
Primary License: VA #0101233274