| NPI | 1972892065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAVDEEP MATHUR Owner 571-379-8827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: VA 0101240433) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-09-14 |