| NPI | 1841884731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA RUTTIG Practice Administrator 703-489-8720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2021-02-22 |