Organization
ERIC S. HAVENS P L L C
Active
Other names
Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC S HAVENS D.O. (OWNER)
(703) 834-7584
Entity
Organization
Contact information
Practice address
1850 TOWN CENTER PKWY STE 207, RESTON, VA 20190-3219
(703) 478-9390
Mailing address
1850 TOWN CENTER PKWY STE 207, RESTON, VA 20190-3219
(703) 478-9390
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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