Montage Health and Wellness Corp

NPI #1306443684 in Burke, Virginia

Provider Information

NPI Number: 1306443684
Entity Type: Organization
Organization Name: Montage Health and Wellness Corp
Primary Specialty: Family Medicine
Enumeration Date: Oct 8, 2020
Last Updated: Oct 25, 2021

Practice Location

Address: 5631 BURKE CENTRE PKWY STE C
City: Burke
State: Virginia
ZIP Code: 22015-2234
Phone: (540) 712-1776

Authorized Official

Name: PATTI D LEE
Title: AUTHORIZED OFFICIAL
Phone: (540) 712-1776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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