| NPI | 1699953810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMON FISHMAN Physician 703-313-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101225797) |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-26 |