NPI | 1932413846 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER L GORRELICK Owner 703-717-4480 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101231368) |
Enumeration Date | 2010-08-03 |
Last Update Date | 2010-08-03 |