Organization
CORNERSTONE MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILY O OTOLORIN M.D.,MBA,FACP (CEO)
(646) 593-6787
Entity
Organization
Contact information
Practice address
2337 KEW GARDENS DR, WOODBRIDGE, VA 22191-6577
(646) 593-6787
Mailing address
PO BOX 4212, WOODBRIDGE, VA 22194-4212
(646) 593-6787
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0101250835
VA
Other
Enumeration date
04/11/2016
Last updated
12/05/2016
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