Organization
FAIRFAXMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD W CHEN MD (MANAGING MEMBER)
(703) 229-4455
Entity
Organization
Contact information
Practice address
10721 MAIN ST, SUITE 3300, FAIRFAX, VA 22030-6908
(703) 229-4455
(703) 229-4454
Mailing address
10721 MAIN ST, SUITE 3300, FAIRFAX, VA 22030-6908
(703) 229-4455
(703) 229-4454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/27/2010
Last updated
01/28/2015
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