# CHESTER SQUARE FAMILY PRACTICE, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023292885
- **Authorized official:** DR. BRIAN GRIEG BURIJON M.D. (M.D./BUSINESS OWNER)
- **Authorized official phone:** (804) 778-4747

## Contact information

- **Practice address:** 4619 CHESTER SQUARE ROAD, CHESTER, VA 23831-1726
- **Practice address phone:** (804) 778-4747
- **Practice address fax:** (804) 778-4487
- **Mailing address:** 4619 CHESTER SQUARE ROAD, CHESTER, VA 23831-1726
- **Mailing address phone:** (804) 778-4747
- **Mailing address fax:** (804) 778-4487

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101052854 | VA | Yes |

## Other

- **Enumeration date:** 12/28/2007
- **Last updated:** 10/22/2008
