| NPI | 1881016632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALAH NEBERAI Pedirtician 571-402-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: VA 10101058221) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2014-01-14 |