Organization
NOVA PHYSICIAN WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROHIT SURI MD (OWNER)
(703) 865-6490
Entity
Organization
Contact information
Practice address
3903 FAIR RIDGE DR, SUITE 219, FAIRFAX, VA 22033-2943
(703) 865-6490
(703) 865-6492
Mailing address
4211 FAIRFAX CORNER AVE E, SUITE 200, FAIRFAX, VA 22030-8622
(703) 865-6490
(703) 865-6492
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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