Afm Family & Internal Medicine PC
Organization Active NPI Family Medicine Physician · Fairfax, VA
NPI 1881542371 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1881542371
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- AFM FAMILY & INTERNAL MEDICINE PC
- Practice address
- 3620 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1756 - Phone
- (703) 941-0267
- NPI assigned
- Mar 19, 2026
- Organization subpart
- No
Authorized official
- Name
- Darcell Boutelle
- Title
- Owner
- Phone
- (310) 994-1553
Practitioners 3
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
3620 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1756
Mailing address
3620 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1756
Phone (703) 941-0267
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All providers in Fairfax, VA · Family Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.