| The Gastroenterology Group, P.C. | |
|
1939 Roland Clarke Pl Ste 200 Reston VA 20191-1445 | |
| (703) 435-3366 | |
| (703) 782-8833 |
| Full Name | The Gastroenterology Group, P.C. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1939 Roland Clarke Pl Ste 200, Reston, Virginia |
| Authorized Official Name and Position | Patricia Darlene Glenn (OFFICE MANAGER) |
| Authorized Official Contact | 7037662650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Gastroenterology Group, P.C. 1939 Roland Clarke Pl Ste 200 Reston VA 20191-1445 Ph: (703) 435-3366 | The Gastroenterology Group, P.C. 1939 Roland Clarke Pl Ste 200 Reston VA 20191-1445 Ph: (703) 435-3366 |
| NPI Number | 1548358831 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 06/22/2021 |
| Certification Date | 06/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548358831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Primary |
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