| NPI | 1942484894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN GALLAGHER Cheif Medical Officer 703-527-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: VA 0101235679) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2009-03-06 |