Organization
HEALTHMSO OF VA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ MERCHIA (MANAGER)
(703) 348-7857
Entity
Organization
Contact information
Practice address
11335 SUNSET HILLS RD, RESTON, VA 20190-5205
(703) 348-7857
(703) 444-4308
Mailing address
PO BOX 1071, BOCA RATON, FL 33429-1071
(703) 348-7857
(703) 444-4308
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2013
Last updated
01/07/2013
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