| NPI | 1619280765 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | QUAN QUOC NGUYEN Physician 703-354-2629  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101031734)  | 
| Enumeration Date | 2010-07-19 | 
| Last Update Date | 2010-07-19 |