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Organization
PARK AVENUE MEDICAL GROUP, P.C.
Active
Organization
PARK AVENUE MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FIROOZEH HOSSEINI SHAHIDI M.D. (MEDICAL DIRECTOR)
(703) 533-3010
Entity
Organization
Contact information
Practice address
313 PARK AVE, SUITE 202, FALLS CHURCH, VA 22046-3327
(703) 533-3010
(703) 538-4316
Mailing address
313 PARK AVE, SUITE 202, FALLS CHURCH, VA 22046-3327
(703) 533-3010
(703) 538-4316
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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