Organization
BRANER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TALHA SIDDIQUI MD (MEDICAL DIRECTOR)
(703) 573-1282
Entity
Organization
Contact information
Practice address
2841 HARTLAND RD STE 207, FALLS CHURCH, VA 22043-3500
(703) 573-1282
Mailing address
2841 HARTLAND RD STE 207, FALLS CHURCH, VA 22043-3500
(703) 573-1282
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101233817
VA
Other
Enumeration date
11/26/2014
Last updated
02/23/2015
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