| NPI | 1962593335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE P POLING Practice Manager 703-698-6255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2007-10-17 |