| Herndon Family Medicine | |
|
555 Herndon Parkway Suite 100 Herndon VA 20170-4828 | |
| (703) 481-1505 | |
| (703) 742-8793 |
| Full Name | Herndon Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 555 Herndon Parkway, Herndon, Virginia |
| Authorized Official Name and Position | James P Jenkins (PRESIDENT) |
| Authorized Official Contact | 7032559100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Herndon Family Medicine Po Box 791128 Baltimore MD 21279-1128 Ph: (703) 481-1505 | Herndon Family Medicine 555 Herndon Parkway Suite 100 Herndon VA 20170-4828 Ph: (703) 481-1505 |
| NPI Number | 1316062581 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 12/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316062581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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