| NPI | 1205250172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIMA SALEEM QUIDWAI President/Owner 757-775-8402 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |