LAKE RIDGE INTERNAL MEDICNE, PC

WOODBRIDGE, VA
NPI1316163256
Entity TypeOrganization
Authorized ContactBASSAM FARAH
President
703-492-1108
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2007-04-18
Last Update Date2012-04-16
Business Address
LAKE RIDGE INTERNAL MEDICNE, PC
1725 FINANCIAL LOOP
WOODBRIDGE, VA 22192-2460
Phone number: 703-492-1108
Mailing Address
LAKE RIDGE INTERNAL MEDICNE, PC
1725 FINANCIAL LOOP
WOODBRIDGE, VA 22192-2460
Phone number: 703-492-1108
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