Organization
PRINCETON LONGEVITY MEDICAL GROUP OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FEIN MD (PRESIDENT)
(609) 430-0752
Entity
Organization
Contact information
Practice address
8503 ARLINGTON BLVD, FAIRFAX, VA 22031-4628
(609) 430-0752
Mailing address
8503 ARLINGTON BLVD, FAIRFAX, VA 22031-4628
(609) 430-0752
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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