| NPI | 1174675102 |
|---|---|
| Doing Business As | NORTHERN VIRGINIA BREAST CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT A COHEN Owner/Director 703-573-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: VA 0101047272) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2008-10-09 |