Organization
FALLS CHURCH MEDICAL CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR NAZAM M.D. (PHYSICIAN/OWNER)
(703) 379-9202
Entity
Organization
Contact information
Practice address
3701 S GEORGE MASON DR STE C1, FALLS CHURCH, VA 22041-4722
(703) 379-9202
(703) 379-9204
Mailing address
3701 S GEORGE MASON DR STE C1, FALLS CHURCH, VA 22041-4722
(703) 379-9202
(703) 379-9204
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
0101036326
VA
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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