Organization
PRIVIA MEDICAL GROUP
Active
Organization
PRIVIA MEDICAL GROUP
Active
Other names
Family Orthopaedics and Sports Medicine of Northern Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CLANCY (SENIOR VICE PRESIDENT)
(571) 366-8850
Entity
Organization
Contact information
Practice address
2010 OPITZ BLVD STE C, WOODBRIDGE, VA 22191-3359
(703) 690-1152
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
03/05/2020
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