Organization
BELLE HAVEN FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WARREN BASIL SHAFFER M.D. (MEDICAL DIRECTOR)
(703) 212-7397
Entity
Organization
Contact information
Practice address
2867 DUKE ST, ALEXANDRIA, VA 22314-4512
(703) 212-7397
(703) 212-7399
Mailing address
2867 DUKE ST, ALEXANDRIA, VA 22314-4512
(703) 212-7397
(703) 212-7399
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101057177
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101057177
STATE LICENSE NUMBER
VA
Enumeration date
02/20/2007
Last updated
03/07/2023
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