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Organization

PRIVIA MEDICAL GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIA GABBAI (ENROLLMENT MANAGER)
(484) 569-9066
Entity
Organization

Contact information

Practice address
141 THOMAS JOHNSON DR STE 100, FREDERICK, MD 21702-4509
(301) 228-9123
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
(571) 982-6636

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
04/18/2024
Last updated
04/18/2024
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