Provider Demographics
NPI:1477114908
Name:AAAG-MEDICAL SERVICES
Entity Type:Organization
Organization Name:AAAG-MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-522-1930
Mailing Address - Street 1:5324 YELLOW BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-9337
Mailing Address - Country:US
Mailing Address - Phone:540-522-1930
Mailing Address - Fax:202-543-3443
Practice Address - Street 1:1313 PENNSYLVANIA AVE SE FL 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3027
Practice Address - Country:US
Practice Address - Phone:540-522-1930
Practice Address - Fax:202-543-3440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-25
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty