Provider Demographics
NPI:1306037577
Name:ULRICH PRINZ MD PLLC
Entity Type:Organization
Organization Name:ULRICH PRINZ MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ULRICH
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-920-8820
Mailing Address - Street 1:3705 S GEORGE MASON DR STE C6S
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22041-3766
Mailing Address - Country:US
Mailing Address - Phone:703-920-8820
Mailing Address - Fax:
Practice Address - Street 1:3705 S GEORGE MASON DR STE C6S
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3766
Practice Address - Country:US
Practice Address - Phone:703-920-8820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty