| NPI | 1487821427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MURRIE LUFSEY Office Manager 703-361-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0401008955) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |