NPI | 1255501417 |
---|---|
Entity Type | Organization |
Authorized Contact | MOSES K ALBERT Owner/Physician 703-849-8036 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101033804) |
Enumeration Date | 2008-03-04 |
Last Update Date | 2008-03-13 |