Unknown Individual – Internal Medicine Physician, NPI 1073513701
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
WHITE / LARKSPUR, White Street, The X, Springfield, Hampden County, Massachusetts, 01108, United States
5242 PORT ROYAL RD
SPRINGFIELD, VA 221510752
Phone: (703) 560-7600
Type: Mailing
Port Royal Road, Ravensworth, North Springfield, Fairfax, Virginia, 22151, United States
SPRINGFIELD, VA 221510752
Phone: (703) 560-7600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22151)
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