Organization
MATURI MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA MATURI MD (MD/PRESIDENT)
(703) 505-0204
Entity
Organization
Contact information
Practice address
2751 PROSPERITY AVE STE 440, FAIRFAX, VA 22031-4397
(703) 505-0204
Mailing address
2751 PROSPERITY AVE STE 440, FAIRFAX, VA 22031-4397
(703) 505-0204
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/27/2018
Last updated
04/30/2018
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