| NPI | 1205029584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN E BROYLES Office Manager 703-717-4093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101045298) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |