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Organization

NOVA WOUND CARE, P.C.

Active
Other names
TKR Group, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY R LAPHAM MD (OWNER/PRESIDENT)
(703) 876-2710
Entity
Organization

Contact information

Practice address
3700 JOSEPH SIEWICK DR, 303, FAIRFAX, VA 22033-1744
(703) 664-8025
(703) 652-8470
Mailing address
115 BEULAH RD NE, 100D, VIENNA, VA 22180-4749
(703) 652-4251
(703) 652-8470

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101240684
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255673943
VA
Enumeration date
10/17/2014
Last updated
03/08/2019
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