| NPI | 1518155126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C MCCARTHY Owner 703-494-1020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine (Licence: VA 0101027449) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2008-07-31 |