Provider Demographics
NPI:1760091185
Name:JOHN CARY MD PC
Entity Type:Organization
Organization Name:JOHN CARY MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-501-1315
Mailing Address - Street 1:8571 SUDLEY RD STE A
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20110-3862
Mailing Address - Country:US
Mailing Address - Phone:703-501-1315
Mailing Address - Fax:
Practice Address - Street 1:8571 SUDLEY RD STE A
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-3862
Practice Address - Country:US
Practice Address - Phone:703-501-1315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-31
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty