| NPI | 1699328500 |
|---|---|
| Doing Business As | BREAST CENTER OF FAIRFAX |
| Entity Type | Organization |
| Authorized Contact | KIM MASTERS Cco 703-698-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |