NPI | 1225689698 |
---|---|
Doing Business As | MOUNT VERNON INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | COURTNEY AINSWORTH IVESS Associate Director, Credentialing 571-366-8831 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Enumeration Date | 2019-09-26 |
Last Update Date | 2020-03-11 |