| NPI | 1205884368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA ADAMS Vice President 703-698-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 2080P0206X Pediatrics, Pediatric Gastroenterology |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2019-12-20 |