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NPI Code Detail

MEDICARE: DR. CARLEEN TYLENDA M.D.

MEDICARE: DR. CARLEEN TYLENDA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician0101037364VA

General Provider Information

NPI Number : 1750343547
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLEEN TYLENDA M.D.
Provider Business Mailing Address
First Line : 8109 HINSON FARM RD
Second Line : SUITE 504
City : ALEXANDRIA
State : VA
Zip : 22306-3415
Country : US
Telephone Number : 703-780-2800
Fax Number :
Provider Business Practice Location Address
First Line : 8109 HINSON FARM RD
Second Line : SUITE 504
City : ALEXANDRIA
State : VA
Zip : 22306-3415
Country : US
Telephone Number : 703-780-2800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2006
Last Update Date : 05/23/2012

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Directions to “ DR. CARLEEN TYLENDA M.D.” Practice Location

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