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Organization

HOME-CARE, MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HOANG VI TRAN MD (PHYSICIAN)
(703) 591-9060
Entity
Organization

Contact information

Practice address
10721 MAIN ST, STE 2500, FAIRFAX, VA 22030-6914
(703) 591-9060
(703) 591-9010
Mailing address
10721 MAIN ST, STE 2500, FAIRFAX, VA 22030-6914
(703) 591-9060
(703) 591-9010

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101058603
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5825865
VA
Enumeration date
12/12/2007
Last updated
12/12/2007
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