| NPI | 1861782252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYRIL JOSEPH Md 703-577-8745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: VA 0101223436) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |