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Organization

WARREN FAMILY PRACTICE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAYASHREE VENKATESH MD (PRESIDENT)
(540) 636-8900
Entity
Organization

Contact information

Practice address
1077 N SHENANDOAH AVE, SUITE B, FRONT ROYAL, VA 22630-3546
(540) 636-8900
(540) 636-8920
Mailing address
1077 N SHENANDOAH AVE, SUITE B, FRONT ROYAL, VA 22630-3546
(540) 636-8900
(540) 636-8920

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356512990
VA
Enumeration date
03/21/2008
Last updated
06/17/2009
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