Organization
ERICKSON HEALTH MEDICAL GROUP OF VIRGINIA PC
Active
Organization
ERICKSON HEALTH MEDICAL GROUP OF VIRGINIA PC
Active
Other names
Ashby Ponds Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW J NARRETT M.D. (SENIOR VP AND CHIEF MEDICAL OFFICER)
(410) 402-2257
Entity
Organization
Contact information
Practice address
21170 ASHBY PONDS BLVD, ASHBURN, VA 20147
(571) 291-6131
(571) 291-6135
Mailing address
5730 EXECUTIVE DR STE 230, CATONSVILLE, MD 21228-1762
(571) 291-6131
(571) 291-6135
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
213E00000X
Podiatrist
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
364SG0600X
Gerontology Clinical Nurse Specialist
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
08/04/2008
Last updated
08/10/2023
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