Organization
PRIVIA MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA GABBAI (ENROLLMENT MANAGER)
(484) 569-9066
Entity
Organization
Contact information
Practice address
12150 ANNAPOLIS RD STE 212, GLENN DALE, MD 20769-9183
(301) 337-2004
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(484) 228-1065
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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