| |
1625 N George Mason Dr, Suite 334, Arlington, VA 22205-3683 | |
(703) 717-4250 | |
(703) 717-4251 |
Full Name | |
---|---|
Type | Facility |
Speciality | Surgery |
Location | 1625 N George Mason Dr, Arlington, Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710329693 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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1625 N George Mason Dr, Suite 334, Arlington, VA 22205-3683 Ph: (703) 717-4250 | 1625 N George Mason Dr, Suite 334, Arlington, VA 22205-3683 Ph: (703) 717-4250 |