OLD DOMINION MEDICAL CENTER, P.C. – Family Medicine Physician, NPI 1104990167
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OLD DOMINION MEDICAL CENTER, P.C.
6715, Whittier Avenue, Bryn Mawr, Langley, McLean, Fairfax County, Virginia, 22101, United States
SUITE 100
MCLEAN, VA 22101
Phone: (703) 356-5700
Fax: (703) 448-8211
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 22101)
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