Excel Medical Clinic, Inc. | |
14904 Jefferson Davis Hwy Suite 205 Woodbridge VA 22191-3908 | |
(703) 497-4500 | |
(703) 494-4671 |
Full Name | Excel Medical Clinic, Inc. |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 14904 Jefferson Davis Hwy, Woodbridge, Virginia |
Authorized Official Name and Position | Shriharsh Laxman Pole (PRESIDENT) |
Authorized Official Contact | 7034974500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Excel Medical Clinic, Inc. 14904 Jefferson Davis Hwy Suite 205 Woodbridge VA 22191-3908 Ph: (703) 497-4500 | Excel Medical Clinic, Inc. 14904 Jefferson Davis Hwy Suite 205 Woodbridge VA 22191-3908 Ph: (703) 497-4500 |
NPI Number | 1164858205 |
---|---|
Provider Enumeration Date | 09/20/2013 |
Last Update Date | 09/20/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164858205 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 0024166397 (Virginia) | Primary |
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