| NPI | 1609035377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORA DOCTOR JOSE Owner 703-360-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: VA 0101022607) |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2008-06-06 |