| NPI | 1700060407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD G KOCH Owner 703-288-0794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: VA 0101023302) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2010-10-07 |