| NPI | 1164779682 |
|---|---|
| Doing Business As | PEDIATRIC GASTROENTEROLOGY OF NORTHERN VIRGINIA |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ENAV President 571-314-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: VA 0101243680) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2013-12-20 |