| Msb Medicine Inc | |
|
4320 Seminary Rd Alexandria VA 22304-1535 | |
| (703) 504-3000 | |
| Not Available |
| Full Name | Msb Medicine Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4320 Seminary Rd, Alexandria, Virginia |
| Authorized Official Name and Position | Michael Baek (MD) |
| Authorized Official Contact | 6319432353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Msb Medicine Inc 309 Lannon Ct Alexandria VA 22304-8636 Ph: () - | Msb Medicine Inc 4320 Seminary Rd Alexandria VA 22304-1535 Ph: (703) 504-3000 |
| NPI Number | 1720653967 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Medicare PECOS PAC ID | 6103229729 |
|---|---|
| Medicare Enrollment ID | O20210720002717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720653967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael S Baek |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215377742 PECOS PAC ID: 7517191091 Enrollment ID: I20160921000670 |
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