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Organization

PERSONIC VIRTUAL CLINIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYED NAQVI (AUTHORIZED MEMBER)
(251) 901-3011
Entity
Organization

Contact information

Practice address
6095 MARSHALEE DR STE 130, ELKRIDGE, MD 21075-6082
(251) 901-3011
(251) 901-3011
Mailing address
PO BOX 8209, VIENNA, VA 22183-2058
(251) 901-3011
(251) 901-3011

Taxonomy

Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QU0200X
Urgent Care Clinic/Center

Other

Enumeration date
01/07/2021
Last updated
05/14/2026
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