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Contact Information

GENESIS ELDERCARE PHYSICIAN SERVICES LLC
1785 S HAYES ST
ARLINGTON, VA22202
 Phone: 703-920-5700
 Fax: 410-543-8492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GENESIS ELDERCARE PHYSICIAN SERVICES LLC · (Female)

NPI # 1588690135
Status Active
Credentials
Entity Individual
Enumeration date 06/24/2006
Last updated 08/05/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • DE Medicaid 036556400
  • MD Medicaid 999320700
  • DC Other B018 BCBS OF NATIONAL CAPITOL
  • MH Other KQ54GE BCBS OF MARYLAND GP #
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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