| NPI | 1720259054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE R O'HALLORAN President 703-573-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: VA 0101051134) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2016-06-15 |