| NPI | 1437646494 |
|---|---|
| Doing Business As | SGF FAIRFAX PROCEDURE CENTER |
| Entity Type | Organization |
| Authorized Contact | SHELLY SHAPIRO Chief Financial Officer 301-545-1407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA0006X Clinic/Center, Ambulatory Fertility Facility |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |