Organization
RESTON MEDICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE FRATER (BILLING MANAGER)
(703) 470-2907
Entity
Organization
Contact information
Practice address
1830 TOWN CENTER DR STE 207, RESTON, VA 20190-3236
(703) 435-2227
(703) 435-7856
Mailing address
1830 TOWN CENTER DR STE 207, RESTON, VA 20190-3236
(703) 435-2227
(703) 435-7856
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
11/22/2019
Last updated
08/13/2023
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