Organization
STONE RIDGE FAMILY MEDICINE PLLC
Active
Other names
Stone Ridge Family Medicine, Stone Ridge Family Medicine and Walk in Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
PRADNYA SHIRSOLKAR (OWNER/PHYSICIAN)
(315) 601-0174
Entity
Organization
Contact information
Practice address
24560 SOUTHPOINT DR STE 220, ALDIE, VA 20105-3504
(315) 601-0174
Mailing address
42619 KELLAMUGH TER, CHANTILLY, VA 20152-6082
(315) 601-1768
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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