| NPI | 1154996312 |
|---|---|
| Doing Business As | INOVA FAIRFAX PA SURGICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RICARDO TALENTO Chief Financial Officer 703-776-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 204F00000X Transplant Surgery |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-07-07 |