# GEORGE MASON UNIVERSITY STUDENT HEALTH SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336588367
- **Authorized official:** WAGIDA ABDALLA M.D. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (703) 993-2831

## Contact information

- **Practice address:** 4400 UNIVERSITY DR, MS 2 D3, FAIRFAX, VA 22030-4422
- **Practice address phone:** (703) 993-2831
- **Practice address fax:** (703) 993-4365
- **Mailing address:** 4400 UNIVERSITY DR, MS 2 D3, FAIRFAX, VA 22030-4422
- **Mailing address phone:** (703) 993-2831
- **Mailing address fax:** (703) 993-4365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QS1000X | Student Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/24/2013
- **Last updated:** 06/24/2013