Organization
FAIRFAX URGENT CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD NUSRAT (PRESIDENT)
(703) 665-4001
Entity
Organization
Contact information
Practice address
332 ELDEN ST, HERNDON, VA 20170-4818
(571) 665-4001
(571) 665-4003
Mailing address
332 ELDEN ST, HERNDON, VA 20170-4818
(571) 665-4001
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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