| NPI | 1992318067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH TAMASY CEO 703-737-6010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2023-08-18 |