Organization
PRIVIA MEDICAL GROUP, LLC
Active
Other names
Center for Pelvic Pain
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CLANCY (SENIOR VICE PRESIDENT)
(571) 982-6636
Entity
Organization
Contact information
Practice address
130 LUBRANO DR, SUITE 111, ANNAPOLIS, MD 21401-7038
(410) 573-1436
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 982-6636
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
03/05/2020
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