FAIRFAX FAMILY PRAC CEN

MANASSAS, VA
NPI1912022187
Doing Business AsPRINCE WILLIAM FAMILY MEDICINE
Entity TypeOrganization
Authorized ContactJAMES P JENKINS
President
703-255-9100
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2007-03-20
Last Update Date2007-12-20
Business Address
FAIRFAX FAMILY PRAC CEN
8100 ASHTON AVENUE SUITE 101
MANASSAS, VA 20109
Phone number: 703-257-8090
Mailing Address
FAIRFAX FAMILY PRAC CEN
PO BOX 791128
BALTIMORE, MD 21279-1128
Phone number: 703-257-8090