| NPI | 1346294519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISE POWERS Executive Director 703-208-3991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 2085R0001X Radiology Radiation Oncology | |
| 208600000X Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 207QH0002X Family Medicine Hospice and Palliative Medicine | |
| 332900000X Non-Pharmacy Dispensing Site | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2022-10-24 |