Organization
JUAN A TRINIDAD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN A TRINIDAD MD (PRESIDENT)
(703) 709-7225
Entity
Organization
Contact information
Practice address
1800 TOWN CENTER DR STE 310, RESTON, VA 20190-3215
(703) 709-7225
Mailing address
1800 TOWN CENTER DR STE 310, RESTON, VA 20190-3215
(703) 709-7225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101018732
VA
208600000X
Surgery Physician
0101018732
VA
Other
Enumeration date
03/15/2013
Last updated
03/15/2013
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