Organization
INTERNAL MEDICINE OF NORTHERN VIRGINIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL M SHOR MD (OWNER)
(703) 709-1119
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 230, RESTON, VA 20190-5896
(703) 709-1119
(703) 709-1384
Mailing address
1860 TOWN CENTER DR, SUITE 230, RESTON, VA 20190-5896
(703) 709-1119
(703) 709-1384
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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