Gary J. Soverow, Md, Pc | |
6888 Elm St Suite 3c Mc Lean VA 22101-3894 | |
(703) 821-1324 | |
(703) 821-1324 |
Full Name | Gary J. Soverow, Md, Pc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 6888 Elm St, Mc Lean, Virginia |
Authorized Official Name and Position | Gary Jan Soverow (PRESIDENT) |
Authorized Official Contact | 7038211324 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gary J. Soverow, Md, Pc 6888 Elm St Suite 3c Mc Lean VA 22101-3894 Ph: (703) 821-1324 | Gary J. Soverow, Md, Pc 6888 Elm St Suite 3c Mc Lean VA 22101-3894 Ph: (703) 821-1324 |
NPI Number | 1285998955 |
---|---|
Provider Enumeration Date | 06/27/2012 |
Last Update Date | 06/27/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285998955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 0101029067 (Virginia) | Primary |
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