| NPI | 1356494579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL G. ROCHMIS Medical Director 703-573-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: VA 0101020441) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-08-07 |