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Organization

JOSEPH R. BALZARETT, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH R. BALZARETT M.D. (PSYCHIATRIST)
(703) 893-8585
Entity
Organization

Contact information

Practice address
8206 LEESBURG PIKE STE 207, VIENNA, VA 22182-2614
(703) 893-8585
(703) 893-3879
Mailing address
8206 LEESBURG PIKE STE 207, VIENNA, VA 22182-2614
(703) 893-8585
(703) 893-3879

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
0101023170
VA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0101023170
VA

Other

Enumeration date
04/10/2009
Last updated
04/10/2009
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