| NPI | 1982010302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREK ABOU GHAZALA President 703-939-9942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: VA 0101237500) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |