| NPI | 1609812510 |
|---|---|
| Doing Business As | FAIRFAX FAMILY MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D KIM President 703-591-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101233609) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-10-26 |