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MEDICAL SPECIALISTS OF FREDERICKSBURG INC

Ambulatory Health Care Facilities Clinic/Center Oncology

Provider NPI: 1982708236

Organization Information:
Organization Name:  MEDICAL SPECIALISTS OF FREDERICKSBURG INC
Organization is not Subpart
Authorized Official:  LEROY J ESSIG  PRESIDENT  540-371-1700

Practice Location:
240 EXECUTIVE CENTER PARKWAY  FREDERICKSBURG, VA 22401-3107 US
Tel: 540-371-1700  Fax: 540-371-1793

Business Mailing Address:
240 EXECUTIVE CENTER PARKWAY  FREDERICKSBURG, VA 22401-3107 US
Tel: 540-371-1700  Fax: 540-371-1793

NPI Information:
NPI: 1982708236
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QX0200XAmbulatory Health Care Facilities
Clinic/Center
Oncology
Y207R00000XPhysicians
Internal Medicine

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICARE11001199901
ANTHEM BCBS025214VA01
60661B6VA05



American Medical Association 2012 taxonomy code information

Code: 207R00000X

Type:

Classification:



Definition:



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