| Cosmosmd | |
|
8991 Cotswold Dr Ste 3a Burke VA 22015-1663 | |
| (703) 477-8917 | |
| Not Available |
| Full Name | Cosmosmd |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 8991 Cotswold Dr Ste 3a, Burke, Virginia |
| Authorized Official Name and Position | Ngoc Hai Le (PHYSICIAN) |
| Authorized Official Contact | 7034778917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmosmd 8991 Cotswold Dr Ste 3a Burke VA 22015-1663 Ph: (703) 477-8917 | Cosmosmd 8991 Cotswold Dr Ste 3a Burke VA 22015-1663 Ph: (703) 477-8917 |
| NPI Number | 1659692598 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659692598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1047335 (Virginia) | Primary |
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