| NPI | 1578624102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE M COPPAGE Practice Manager 703-369-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0002200929) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2010-07-02 |