Organization
INTERNAL MEDICINE PRACTICE ASSOCIATES PC
Active
Organization
INTERNAL MEDICINE PRACTICE ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALOK RUSTOGI MD (DIRECTOR)
(703) 880-5539
Entity
Organization
Contact information
Practice address
46090 LAKE CENTER PLZ, 201, POTOMAC FALLS, VA 20165-5876
(703) 444-6544
(703) 444-1121
Mailing address
46090 LAKE CENTER PLZ, 201, POTOMAC FALLS, VA 20165-5876
(703) 444-6544
(703) 444-1121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101236706
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF6585
MEDICARE RAILROAD
—
Enumeration date
07/05/2006
Last updated
10/31/2011
Update your record
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