| NPI | 1386596674 |
|---|---|
| Doing Business As | MILLENNIUM MEDICAL CARE RESTON |
| Entity Type | Organization |
| Authorized Contact | RAVI KIRAN PASUNOORI Vice President 732-762-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2026-02-10 |
| Last Update Date | 2026-03-23 |