| NPI | 1932481264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMAN HUSSNY Physician/Owner 571-248-2985 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VA 0101231752) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2021-08-13 |