# BEAUREGARD MEDICAL CENTER, LTD

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

## Provider details

- **NPI number:** 1780708024
- **Authorized official:** DR. JOHN S PULIZZI JR. (PRESIDENT)
- **Authorized official phone:** (703) 824-9397

## Contact information

- **Practice address:** 3450 N BEAUREGARD ST, ALEXANDRIA, VA 22302-1200
- **Practice address phone:** (703) 820-7000
- **Practice address fax:** (703) 820-5564
- **Mailing address:** 3450 N BEAUREGARD ST, ALEXANDRIA, VA 22302-1200
- **Mailing address phone:** (703) 820-7000
- **Mailing address fax:** (703) 820-5564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 11/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2156 | CARE FIRST GROUP \# | — |