Organization
ROBERT S ENELOW MD AND STUART HENOCHOWICZ MD PC
Active
Other names
Internal Medicine & Allergy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SHELLEY KREITMAN (MANAGER)
(703) 425-7550
Entity
Organization
Contact information
Practice address
6035 BURKE CENTRE PKWY, SUITE 120, BURKE, VA 22015-3750
(703) 425-6010
(703) 425-7504
Mailing address
6035 BURKE CENTRE PKWY, SUITE 120, BURKE, VA 22015-3750
(703) 425-6010
(703) 425-7504
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
0101042350
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
595284
PTAN
—
Enumeration date
09/29/2006
Last updated
01/21/2011
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