| NPI | 1467990895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD LONGWE Office Manager 703-327-0955 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: VA 0438000358) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |