| NPI | 1083896476 |
|---|---|
| Doing Business As | ASHTON AVENUE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SUSAN FITZGERALD President 703-334-5801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |