| Ashburn Internal Medicine | |
|
21785 Filigree Ct Suite 215 Ashburn VA 20147-6213 | |
| (571) 223-5610 | |
| (571) 287-6792 |
| Full Name | Ashburn Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 21785 Filigree Ct, Ashburn, Virginia |
| Authorized Official Name and Position | Maria Wasique (OWNER) |
| Authorized Official Contact | 5712235610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashburn Internal Medicine 42908 Vestals Gap Dr Broadlands VA 20148-4005 Ph: (571) 223-5610 | Ashburn Internal Medicine 21785 Filigree Ct Suite 215 Ashburn VA 20147-6213 Ph: (571) 223-5610 |
| NPI Number | 1164754255 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 09/23/2011 |
| Medicare PECOS PAC ID | 0244418788 |
|---|---|
| Medicare Enrollment ID | O20110701000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164754255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 0101241267 (Virginia) | Primary |
| Provider Name | Maria Wasique |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700811239 PECOS PAC ID: 3173574654 Enrollment ID: I20091202000148 |
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