| NPI | 1417069808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD J BRIDEAU President 703-971-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-11-05 |