Organization
ACE MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI MIREBRAHIMI-TAFRESHI MD (PRESIDENT)
(443) 739-2315
Entity
Organization
Contact information
Practice address
9845 GEORGETOWN PIKE, GREAT FALLS, VA 22066-2617
(703) 757-0311
(703) 757-0911
Mailing address
9845 GEORGETOWN PIKE, GREAT FALLS, VA 22066-2617
(703) 757-0311
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
0101247765
VA
Other
Enumeration date
03/25/2011
Last updated
01/12/2012
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