| Gary J. Soverow, Md, Pc | |
|
6888 Elm St Suite 3c Mc Lean VA 22101-3894 | |
| (703) 821-1324 | |
| (703) 821-1324 |
| Full Name | Gary J. Soverow, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 6888 Elm St, Mc Lean, Virginia |
| Authorized Official Name and Position | Gary Jan Soverow (PRESIDENT) |
| Authorized Official Contact | 7038211324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary J. Soverow, Md, Pc 6888 Elm St Suite 3c Mc Lean VA 22101-3894 Ph: (703) 821-1324 | Gary J. Soverow, Md, Pc 6888 Elm St Suite 3c Mc Lean VA 22101-3894 Ph: (703) 821-1324 |
| NPI Number | 1285998955 |
|---|---|
| Provider Enumeration Date | 06/27/2012 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285998955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101029067 (Virginia) | Primary |
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