Organization
INTEGRATIVE FAMILY MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH TAMASY (CHIEF EXECUTIVE OFFICER)
(703) 737-6010
Entity
Organization
Contact information
Practice address
116Q EDWARDS FERRY RD NE, LEESBURG, VA 20176-2301
(703) 669-6118
(703) 669-6996
Mailing address
116Q EDWARDS FERRY RD NE, LEESBURG, VA 20176-2301
(703) 669-6118
(703) 669-6996
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
01/09/2007
Last updated
09/05/2012
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