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1972832608
PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC
FAIRFAX, VA
NPI
1972832608
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Entity Type
Organization
Authorized Contact
THIEN QUANG DAT LE
Owner
703-716-5404
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101840408)
Enumeration Date
2009-12-08
Last Update Date
2011-09-29
Business Address
PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC
4001 FAIR RIDGE DR SUITE 206
FAIRFAX, VA 22033-2917
Phone number: 703-716-5404
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Mailing Address
PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC
4001 FAIR RIDGE DR SUITE 206
FAIRFAX, VA 22033-2917
Phone number: 703-716-5404
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