Organization
OBGYNNOVA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA PHAM MD (PHYSICIAN)
(703) 719-5901
Entity
Organization
Contact information
Practice address
6355 WALKER LN STE 408, ALEXANDRIA, VA 22310-3250
(703) 719-5901
(703) 719-9628
Mailing address
6355 WALKER LN STE 408, ALEXANDRIA, VA 22310-3250
(703) 719-5901
(703) 719-9628
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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