Organization
MEDICAL SPECIALISTS OF FREDERICKSBURG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEROY J ESSIG MD (PRESIDENT)
(540) 371-1700
Entity
Organization
Contact information
Practice address
240 EXECUTIVE CENTER PARKWAY, FREDERICKSBURG, VA 22401-3107
(540) 371-1700
(540) 371-1793
Mailing address
240 EXECUTIVE CENTER PARKWAY, FREDERICKSBURG, VA 22401-3107
(540) 371-1700
(540) 371-1793
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QX0200X
Oncology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025214
ANTHEM BCBS
VA
01
—
110011999
RAILROAD MEDICARE
—
05
—
60661B6
—
VA
Enumeration date
09/08/2006
Last updated
07/19/2010
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