Organization · Type 2 NPI

Fairfax Family Practice Centers PC

Family Medicine Physician · Ashburn, VA

NPI number 1184748360 Active

Practice location

20905 Professional Plaza, Suite 330
Ashburn, VA 20147

Call (703) 726-0003 Map

Fax (703) 726-6444

Mailing address

PO Box 791128
Baltimore, MD 21279-1128

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Ashburn

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NPI record

NPI: 1184748360
Entity type: Organization (Type 2)
Issued: Mar 16, 2007
Last updated: Dec 27, 2007
Status: Active
Subpart: Yes of Fairfax Family Practice Centers PC

Other names

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Broadlands Family Practice · doing business as

Authorized official

James P Jenkins, MD
President
(703) 255-9100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1184748360

Fairfax Family Practice Centers PC's National Provider Identifier is 1184748360, issued on Mar 16, 2007. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Ashburn, VA. The record was last updated on Dec 27, 2007.