Organization
NOVA GYNECOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN KIM (BILLING MANAGER)
(703) 249-9079
Entity
Organization
Contact information
Practice address
10400 EATON PL STE 515, FAIRFAX, VA 22030-2234
(703) 691-4141
(703) 783-0084
Mailing address
8642 RESECA LN, SPRINGFIELD, VA 22152-1411
(703) 249-9079
(703) 249-5186
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101032425
VA
Other
Enumeration date
06/18/2008
Last updated
07/11/2013
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