Organization · NPI-2

Careclix

Internal Medicine · Vienna, VA

NPI number1609312552
StatusActive
Last updated in NPPESJan 17, 2017

Details

NPI
1609312552
Entity type
Organization (NPI-2)
Legal business name
Careclix
Organization subpart
No
Enumeration date
Jan 17, 2017
Last updated
Jan 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine35.123867OHYes

Practice location

1934 Old Gallows Rd
Suite 350
Vienna, VA 22182-4042

Phone 703-291-1285 · Fax 571-424-1114

Mailing address

1934 Old Gallows Rd
Suite 350
Vienna, VA 22182-4042

Phone 703-291-1285 · Fax 571-424-1114

Authorized official

Simon Kim
Implementation Manager
7032911285

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