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George Mason University Student Health Service

Clinic/Center, Student Health in Fairfax, VA. Organization (NPI-2).

NPI number1336588367
StatusActive
Last updated in NPPESJun 24, 2013

Details

NPI
1336588367
Entity type
Organization (NPI-2)
Legal business name
George Mason University Student Health Service
Organization subpart
No
Enumeration date
Jun 24, 2013
Last updated
Jun 24, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1000X Clinic/Center, Student Health––Yes

Practice location

4400 University Dr
Ms 2 D3
Fairfax, VA 22030-4422

Phone 703-993-2831 · Fax 703-993-4365

Mailing address

4400 University Dr
Ms 2 D3
Fairfax, VA 22030-4422

Phone 703-993-2831 · Fax 703-993-4365

Authorized official

Wagida Abdalla
Executive Director
7039932831

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