NPI | 1659918381 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW GUY KESTENBAUM Chief Medical Officer 703-957-1888 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
Additional Taxonomies | 251B00000X Case Management |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2019-12-02 |
Last Update Date | 2022-08-16 |