Organization · Type 2 NPI

Primary Gerontology Center LLC

Geriatric Medicine (Family Medicine) Physician · Annandale, VA

NPI number 1215425384 Active

Practice location

4216 Evergreen Ln Ste 125
Annandale, VA 22003-3256

Fax (703) 662-6165

Mailing address

4216 Evergreen Ln Ste 121
Annandale, VA 22003-3256

Specialties and licenses

TaxonomyCodeLicense
Geriatric Medicine (Family Medicine) Physician Primary 207QG0300XNone listed

Geriatric Medicine (Family Medicine) Physician: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

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About NPI 1215425384

Primary Gerontology Center LLC's National Provider Identifier is 1215425384, issued on Apr 24, 2018. The primary taxonomy on file is Geriatric Medicine (Family Medicine) Physician (207QG0300X), and the practice location is in Annandale, VA. The record was last updated on Mar 14, 2026.