# MOUNTAINSIDE MEDICINE P.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1790963676
- **Authorized official:** JOHN F. MCCUE D.O. (PRESIDENT)
- **Authorized official phone:** (540) 675-3080

## Contact information

- **Practice address:** 12715 LEE HWY, WASHINGTON, VA 22747-1933
- **Practice address phone:** (540) 675-3080
- **Mailing address:** 12715 LEE HWY, WASHINGTON, VA 22747-1933
- **Mailing address phone:** (540) 675-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0102049877 | VA | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 02/04/2008