Organization
FAIRFAX URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBRISH GUPTA M.D. (MANAGER)
(703) 658-2650
Entity
Organization
Contact information
Practice address
8191 STRAWBERRY LN, 4, FALLS CHURCH, VA 22042-1031
(703) 658-2650
Mailing address
8191 STRAWBERRY LN, 4, FALLS CHURCH, VA 22042-1031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/24/2011
Last updated
11/02/2011
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