Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boston Medical Group- Virginia, PC

Organization Urology Physician · NPI 1629496088

Boston Medical Group- Virginia, PC is an Urology Physician in Alexandria, Virginia. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4216 King St
Alexandria, VA 22302
Phone: (703) 845-7411
Fax: (703) 845-7409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1629496088
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tom Le — Medical Director · (818) 808-2828
NPI enumeratedApril 2, 2014
Last updated in NPPESApril 2, 2014
Mailing address4216 King Street, Alexandria, VA 22302

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