| NPI | 1467060236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SINGH Owner 703-646-1270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |