| NPI | 1063442754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWAN S HAQUE Vice President 703-525-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2020-08-22 |