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Organization
THE MONTGOMERY MEDICAL CLINIC
Active
Organization
THE MONTGOMERY MEDICAL CLINIC
Active
Parent organization
MONTGOMERY MEDICAL CLINIC
Other names
Capitol Travel Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
MONTGOMERY MEDICAL CLINIC
Authorized official
MRS. TANYA CHADWELL CFNP (CLINICAL DIRECTOR)
(703) 351-5100
Entity
Organization
Contact information
Practice address
3800 FAIRFAX DR STE 2, ARLINGTON, VA 22203-1703
(703) 351-5100
(703) 351-1445
Mailing address
3800 FAIRFAX DR STE 2, ARLINGTON, VA 22203-1703
(703) 351-5100
(703) 351-1445
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
NULL
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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