Organization
BENJAMIN I. ENAV, MD, LLC
Active
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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