Provider Demographics
NPI:1619937547
Name:ARLINGTON PRIMARY CARE PC
Entity Type:Organization
Organization Name:ARLINGTON PRIMARY CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT SR PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELE
Authorized Official - Middle Name:C
Authorized Official - Last Name:SEILER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-522-5300
Mailing Address - Street 1:1635 N GEORGE MASON DRIVE
Mailing Address - Street 2:SUITE 490
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205
Mailing Address - Country:US
Mailing Address - Phone:703-522-5300
Mailing Address - Fax:703-908-0148
Practice Address - Street 1:1635 N GEORGE MASON DRIVE
Practice Address - Street 2:SUITE 490
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205
Practice Address - Country:US
Practice Address - Phone:703-522-5300
Practice Address - Fax:703-908-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-24
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101043748207R00000X
207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAE70652Medicare UPIN
VAQ30479Medicare UPIN
VAQ45948Medicare UPIN
VAF87674Medicare UPIN
VAF81609Medicare UPIN
822999Medicare PIN
VAH05558Medicare UPIN