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Contact Information

METHUSELAH FOUNDATION
8021 FLINT ST
SPRINGFIELD, VA22153-2438
 Phone: 818-321-8568
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for METHUSELAH FOUNDATION · (Female)

NPI # 1831926757
Status Active
Credentials
Entity Individual
Enumeration date 09/16/2024
Last updated 09/17/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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