| NPI | 1114113040 |
|---|---|
| Doing Business As | COASTAL CARDIOTHORACIC & VASCULAR ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | KEN WASHINGTON Vice President 703-650-2907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |