Organization · NPI-2

Afm Family & Internal Medicine PC

Family Medicine · Fairfax, VA

NPI number1881542371
StatusActive
Last updated in NPPESJul 23, 2026

Details

NPI
1881542371
Entity type
Organization (NPI-2)
Legal business name
Afm Family & Internal Medicine PC
Organization subpart
No
Enumeration date
Mar 19, 2026
Certification date
Jul 23, 2026
Last updated
Jul 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

3620 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1756

Phone 703-941-0267

Mailing address

3620 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1756

Phone 703-941-0267 · Fax 703-941-2018

Authorized official

Darcell Boutelle
Owner
3109941553

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