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Organization
SOMATUS WHOLE CARE CENTER OF NEW JERSEY P.C.
Active
Organization
SOMATUS WHOLE CARE CENTER OF NEW JERSEY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN KO MD (AUTHORIZED OFFICIAL)
(571) 244-7441
Entity
Organization
Contact information
Practice address
1861 INTERNATIONAL DRIVE, STE 600, MCLEAN, VA 22102-4420
(571) 992-0600
Mailing address
1861 INTERNATIONAL DRIVE, STE 600, MCLEAN, VA 22102-4420
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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