| NPI | 1609600303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAFEEK SEDDIQ Member 703-677-6394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 261QP2300X Clinic/Center Primary Care | |
| 202K00000X Phlebology | |
| 261QU0200X Clinic/Center Urgent Care | |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2024-08-27 |