| NPI | 1942215330 |
|---|---|
| Doing Business As | FAMILY PRACTICE AND PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | ROHINI WIJETILLEKE Md Pc 703-471-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 35528) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 35528) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-11-29 |