| NPI | 1861437105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDLA ANBESSIE Physician 703-845-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101238116) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101233011) |
| 207R00000X Internal Medicine (Licence: VA 0101058267) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2020-08-22 |