Organization
NORMALBALANCE, LLC
Active
Other names
NormalBalance
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ MERCHIA (MANAGER)
(301) 675-0512
Entity
Organization
Contact information
Practice address
2235 CEDAR LN STE 101, VIENNA, VA 22182-5247
(703) 348-7857
Mailing address
PO BOX 1048, GREAT FALLS, VA 22066-9048
(301) 675-0512
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
05/18/2011
Last updated
05/18/2011
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