Organization
ADULT PRIMARY CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIAMAK HEYDARIAN MD (PRESIDENT)
(845) 426-6864
Entity
Organization
Contact information
Practice address
2200 OPITZ BLVD, SUITE 350, WOODBRIDGE, VA 22191-3321
(845) 426-6864
Mailing address
2200 OPITZ BLVD, SUITE 350, WOODBRIDGE, VA 22191-3321
(845) 426-6864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101048248
VA
Other
Enumeration date
06/19/2007
Last updated
11/08/2007
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