| NPI | 1245771336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA BERGER Physician 703-888-7709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: FL ME124391) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |