Organization
PRIMARY CARE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN J POLVERINO D.O. (PRESIDENT)
(540) 302-0190
Entity
Organization
Contact information
Practice address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 302-0192
(540) 302-0193
Mailing address
1935 W MAIN ST, PO BOX 1568, SALEM, VA 24153-3109
(540) 302-0192
(540) 302-0193
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
VA
Other
Enumeration date
06/01/2006
Last updated
09/21/2007
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