Eric S. Havens P L L C
Family Medicine in Reston, VA. Organization (NPI-2).
NPI number1366729675
StatusActive
Last updated in NPPESNov 15, 2011
Details
- NPI
- 1366729675
- Entity type
- Organization (NPI-2)
- Legal business name
- Eric S. Havens P L L C
- Organization subpart
- No
- Enumeration date
- Nov 15, 2011
- Last updated
- Nov 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Family Health Center (Doing Business As)
Practice location
1850 Town Center Pkwy Ste 207Reston, VA 20190-3219
Phone 703-478-9390
Mailing address
1850 Town Center Pkwy Ste 207Reston, VA 20190-3219
Phone 703-478-9390
Authorized official
Eric S Havens
Owner
7038347584
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