| 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 |