Organization
BATTLEFIELD FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS J TAVANI JR. MD (PRESIDENT)
(703) 330-2233
Entity
Organization
Contact information
Practice address
9625 SURVEYOR CT, SUITE 100, MANASSAS, VA 20110-4422
(703) 330-2233
(703) 330-2232
Mailing address
9625 SURVEYOR CT, SUITE 100, MANASSAS, VA 20110-4422
(703) 330-2233
(703) 330-2232
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101044542
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005605601
—
VA
01
—
382570
ANTHEM
VA
01
—
577722042
TRICARE CHAMPUS
VA
Enumeration date
06/25/2007
Last updated
06/20/2013
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