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1043984115
TRIDENT MEDICAL GROUP LLC
LANSDOWNE, VA
NPI
1043984115
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Entity Type
Organization
Authorized Contact
NARESH BASSI
President
703-509-9198
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2021-08-03
Last Update Date
2022-04-05
Business Address
TRIDENT MEDICAL GROUP LLC
19415 DEERFIELD AVE STE 103
LANSDOWNE, VA 20176-8470
Phone number: 703-509-9198
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Mailing Address
TRIDENT MEDICAL GROUP LLC
42115 PEMBERLY CT
CHANTILLY, VA 20152-5982
Phone number: 703-509-9198
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