| NPI | 1407037500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND STEPHEN PETRILLI President 703-830-8403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0101022700) |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: VA 0101022700) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-19 |