Organization
NORTHWEST INTERNISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS M MASTERSON MD (DIRECTOR)
(703) 356-2037
Entity
Organization
Contact information
Practice address
1313 DOLLEY MADISON BLVD, SUITE 302, MC LEAN, VA 22101-3953
(703) 356-2037
(703) 734-8987
Mailing address
PO BOX 487, MC LEAN, VA 22101-0487
(703) 356-2037
(703) 734-8987
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101038350
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101038350
MEDICAL LICENSE
VA
Enumeration date
05/19/2006
Last updated
11/07/2007
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