| Genesis Eldercare Physician Services I LLC | |
|
11 Dairy Ln Fredericksburg VA 22405-2663 | |
| (540) 371-9414 | |
| Not Available |
| Full Name | Genesis Eldercare Physician Services I LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 11 Dairy Ln, Fredericksburg, Virginia |
| Authorized Official Name and Position | Catherine M Tregoe (DIRECTOR OF BUSINESS OPERATIONS) |
| Authorized Official Contact | 4105438870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Eldercare Physician Services I LLC 801 N Salisbury Blvd Suite 201 Salisbury MD 21801-3624 Ph: (410) 543-1957 | Genesis Eldercare Physician Services I LLC 11 Dairy Ln Fredericksburg VA 22405-2663 Ph: (540) 371-9414 |
| NPI Number | 1104061696 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 12/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104061696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | () | Secondary |
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