Organization
MED-OFFICE CORPORATION C/O CAM-TU THI THAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAM-TU THI THAI M.D. (CEO)
(703) 241-2412
Entity
Organization
Contact information
Practice address
6316 CASTLE PL, SUITE 301, FALLS CHURCH, VA 22044-1906
(703) 241-2412
(703) 241-5743
Mailing address
12418 ROCK RIDGE RD, HERNDON, VA 20170-5726
(703) 241-2412
(703) 241-5743
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101054907
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255318242
INDIVIDUAL NPI
VA
Enumeration date
12/04/2007
Last updated
12/04/2007
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