Genesis Eldercare Physician Services I Llc | |
11 Dairy Ln Fredericksburg VA 22405-2663 | |
(540) 371-9414 | |
Not Available |
Full Name | Genesis Eldercare Physician Services I Llc |
---|---|
Speciality | Internal Medicine |
Location | 11 Dairy Ln, Fredericksburg, Virginia |
Authorized Official Name and Position | Catherine M Tregoe (DIRECTOR OF BUSINESS OPERATIONS) |
Authorized Official Contact | 4105438870 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Genesis Eldercare Physician Services I Llc 801 N Salisbury Blvd Suite 201 Salisbury MD 21801-3624 Ph: (410) 543-1957 | Genesis Eldercare Physician Services I Llc 11 Dairy Ln Fredericksburg VA 22405-2663 Ph: (540) 371-9414 |
NPI Number | 1104061696 |
---|---|
Provider Enumeration Date | 12/11/2008 |
Last Update Date | 12/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104061696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
207RP1001X | Internal Medicine - Pulmonary Disease | (* (Not Available)) | Secondary |
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