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NPI Code Detail

MEDICARE: INFECTIOUS DISEASES PHYSICIANS, INC

MEDICARE: INFECTIOUS DISEASES PHYSICIANS, INC
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
1363LA2200XAdult Health Nurse Practitioner0024172994VA

General Provider Information

NPI Number : 1700257839
Entity Type Code : Organization
Provider Name (Legal Business Name) : INFECTIOUS DISEASES PHYSICIANS, INC
Provider Business Mailing Address
First Line : 3289 WOODBURN RD STE 200
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-7347
Country : US
Telephone Number : 703-560-7900
Fax Number : 703-560-8408
Provider Business Practice Location Address
First Line : 3289 WOODBURN RD STE 200
Second Line :
City : ANNANDALE
State : VA
Zip : 22003-7347
Country : US
Telephone Number : 703-560-7900
Fax Number :
Authorized Official
Title or Position : COO
Name : STEVE PORETZ
Credential : RN, MSHA
Telephone Number : 703-560-7900
Provider Enumeration Date : 10/15/2015
Last Update Date : 09/29/2025

Similar Medicare Providers

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Practice Location Address:
3289 WOODBURN RD STE 200
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Practice Fax: 703-560-8404
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Directions to “INFECTIOUS DISEASES PHYSICIANS, INC ” Practice Location

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