Organization
PRIVIA MEDICAL GROUP, LLC
Active
Other names
Menocal Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CLANCY (SENIOR VICE PRESIDENT)
(571) 366-8850
Entity
Organization
Contact information
Practice address
110 BAUGHMANS LN, SUITE 140, FREDERICK, MD 21702-4059
(240) 215-1138
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
10/11/2016
Last updated
03/05/2020
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