| NPI | 1982776217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAREQ ABEDIN Owner 703-729-9220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-07-15 |