Organization
FIRST CARE MEDICAL SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSOM B GHEBRAI M.D. (PRESIDENT)
(301) 502-6912
Entity
Organization
Contact information
Practice address
1310 SOUTHERN AVE SE, WASHINGTON, DC 20032-4623
(202) 574-6000
Mailing address
4150 STEVENSON ST, APT. 303, FAIRFAX, VA 22030-5774
(301) 502-6912
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/19/2016
Last updated
03/06/2017
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