Springfield Medical Clinic
Family Medicine in Springfield, VA. Organization (NPI-2).
NPI number1043336639
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043336639
- Entity type
- Organization (NPI-2)
- Legal business name
- Springfield Medical Clinic
- Organization subpart
- No
- Enumeration date
- Mar 22, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 0101038129 | VA | Yes |
Practice location
6365 Rolling Mill PlSuite 103
Springfield, VA 22152-2353
Phone 703-569-7420 · Fax 301-934-9321
Mailing address
6365 Rolling Mill PlSuite 103
Springfield, VA 22152-2353
Phone 703-569-7420 · Fax 301-934-9321
Authorized official
Rosario C Ferrer
Owner
7035697420
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