NPI | 1245774884 |
---|---|
Doing Business As | BODYLOGIC MD OF ALDIE |
Entity Type | Organization |
Authorized Contact | ANDREW HEYMAN Owner 703-327-2434 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101245474) |
Enumeration Date | 2016-12-16 |
Last Update Date | 2016-12-16 |