TRIDENT MEDICAL GROUP LLC

LANSDOWNE, VA
NPI1043984115
Entity TypeOrganization
Authorized ContactNARESH BASSI
President
703-509-9198
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2021-08-03
Last Update Date2022-04-05
Business Address
TRIDENT MEDICAL GROUP LLC
19415 DEERFIELD AVE STE 103
LANSDOWNE, VA 20176-8470
Phone number: 703-509-9198
Mailing Address
TRIDENT MEDICAL GROUP LLC
42115 PEMBERLY CT
CHANTILLY, VA 20152-5982
Phone number: 703-509-9198