| NPI | 1063783538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUMKI BANERJEE Medical Director 804-273-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 225700000X Massage Therapist |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 207N00000X Dermatology | |
| Enumeration Date | 2012-01-15 |
| Last Update Date | 2020-05-09 |