Privia Medical Group, LLC

NPI #1114788601 in Frederick, Maryland

Provider Information

NPI Number: 1114788601
Entity Type: Organization
Organization Name: Privia Medical Group, LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Jan 22, 2024
Last Updated: Jan 22, 2024

Practice Location

Address: 198 THOMAS JOHNSON DR STE 17
City: Frederick
State: Maryland
ZIP Code: 21702-4451
Phone: (301) 718-9611

Authorized Official

Name: MARIA GABBAI
Title: PROVIDER ENROLLMENT MANAGER
Phone: (610) 530-4363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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Organizations

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Privia Medical Group, LLC	Neurological Surgery	Frederick	AI Deep Dive
Privia Medical Group, LLC	Neurological Surgery	Frederick	AI Deep Dive

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