Provider Demographics
NPI:1174782056
Name:PRIMEGGIA, JENNIFER (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:PRIMEGGIA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1715 N GEORGE MASON DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3609
Mailing Address - Country:US
Mailing Address - Phone:703-717-7851
Mailing Address - Fax:703-717-7852
Practice Address - Street 1:1715 N GEORGE MASON DR
Practice Address - Street 2:SUITE 305
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3609
Practice Address - Country:US
Practice Address - Phone:703-717-7851
Practice Address - Fax:703-717-7852
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2020-12-16
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Provider Licenses
StateLicense IDTaxonomies
VA0101244429207RI0200X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist