Organization
BENJAMIN I. ENAV, MD, LLC
Active
Other names
Pediatric Gastroenterology of Northern Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN ENAV MD (PRESIDENT)
(571) 314-0444
Entity
Organization
Contact information
Practice address
2700 PROSPERITY AVE, SUITE 260, FAIRFAX, VA 22031-4339
(571) 314-0444
(855) 237-3628
Mailing address
2700 PROSPERITY AVE, SUITE 260, FAIRFAX, VA 22031-4339
(571) 314-0444
(855) 237-3628
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
0101243680
VA
Other
Enumeration date
08/14/2012
Last updated
12/20/2013
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