Mclean Medical Center and Urgent Care LLC

NPI #1447539325 in Mc Lean, Virginia

Provider Information

NPI Number: 1447539325
Entity Type: Organization
Organization Name: Mclean Medical Center and Urgent Care LLC
Primary Specialty: Internal Medicine
Enumeration Date: Aug 10, 2011
Last Updated: Aug 10, 2011

Practice Location

Address: 6858 OLD DOMINION DR
City: Mc Lean
State: Virginia
ZIP Code: 22101-3899
Phone: (703) 212-2456

Authorized Official

Name: DR. AMBRISH GUPTA, M.D.
Title: MANAGER
Phone: (703) 212-2456

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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