| NPI | 1326650334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL BEREZ Owner 703-307-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-12-14 |