Organization Name: | A-1 FAMILY MEDICAL CENTER,LLC. |
NPI Number: | 1467713180 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAROONA SUBZWARI (DIRECTOR) |
Mailing Address: | 4810 Beauregard St Ste # 206 B Alexandria |
State: | VA US |
Postal Code: | 223121709 |
Phone Number: | 7039161211 |
Fax Number: | 7036357456 |
NPI Enumeration Date: | 05/30/2012 |
NPI Last Update Date: | 08/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |