Northern Virginia Internal Medicine

NPI #1134244320 in Alexandria, Virginia

Provider Information

NPI Number: 1134244320
Entity Type: Organization
Organization Name: Northern Virginia Internal Medicine
Primary Specialty: Specialist
Enumeration Date: Mar 20, 2007
Last Updated: Dec 1, 2009

Practice Location

Address: 8101 HINSON FARM RD
Address 2: SUITE 119
City: Alexandria
State: Virginia
ZIP Code: 22306-3403
Phone: (703) 799-7300

Authorized Official

Name: DR. LAURENCE J CLARK, M.D.
Title: PRESIDENT
Phone: (703) 799-7300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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