Organization
FAIRFAX CONVENIENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDY H JUBURI MD (PRESIDENT)
(703) 849-0900
Entity
Organization
Contact information
Practice address
8301 ARLINGTON BLVD, SUITE 100, FAIRFAX, VA 22031-2902
(703) 849-0900
(703) 208-7444
Mailing address
8301 ARLINGTON BLVD, SUITE 100, FAIRFAX, VA 22031-2902
(703) 849-0900
(703) 208-7444
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/31/2007
Last updated
11/25/2008
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