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Organization

BRISTOW RUN FAMILY PRACTICE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN J TANG M.D. (PRESIDENT)
(703) 753-9799
Entity
Organization

Contact information

Practice address
14540 JOHN MARSHALL HWY, SUITE 104, GAINESVILLE, VA 20155-1691
(703) 753-9799
(703) 753-9792
Mailing address
14540 JOHN MARSHALL HWY, SUITE 104, GAINESVILLE, VA 20155-1691
(703) 753-9799
(703) 753-9792

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101230910
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
H28451
UPIN DR. STEVEN TANG
VA
Enumeration date
09/27/2006
Last updated
08/22/2020
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