| NPI | 1891994547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED NGUYEN Office Manager 703-538-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101226147) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2011-11-01 |