Bbennettmd 1 On 1 Virtual Healthcare

NPI #1407470107 in Burke, Virginia

Provider Information

NPI Number: 1407470107
Entity Type: Organization
Organization Name: Bbennettmd 1 On 1 Virtual Healthcare
Primary Specialty: Family Medicine
Enumeration Date: May 29, 2020
Last Updated: Nov 7, 2021

Practice Location

Address: 9159 BLOOM CT
City: Burke
State: Virginia
ZIP Code: 22015-1643
Phone: (571) 749-8420

Authorized Official

Name: ELIZABETH ANN BENNETT, MD
Title: MEDICAL DIRECTOR
Phone: (571) 749-8420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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