| NPI | 1366625261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUARINO AZARCON Administrator 703-799-7308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101037793) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |