Organization
NORTH ARLINGTON FAMILY PRACTICE, PC
Active
Other names
Ashton Avenue Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN FITZGERALD MD (PRESIDENT)
(703) 334-5801
Entity
Organization
Contact information
Practice address
8100 ASHTON AVE, SUITE 207, MANASSAS, VA 20109-5622
(703) 334-5801
(703) 334-5805
Mailing address
6729 25TH ST N, ARLINGTON, VA 22213-1102
(703) 533-1550
(703) 533-1578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
309288
ANTHEM BC/BS
VA
Enumeration date
11/28/2007
Last updated
11/28/2007
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