Organization
ALLIANCE MEDICAL TEAM LLC
Active
Organization
ALLIANCE MEDICAL TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WESAM MOUSTAFA HUSSEIN (MD)
(346) 220-3534
Entity
Organization
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(346) 220-3534
Mailing address
497 ALABAMA DR, HERNDON, VA 20170-5304
(346) 220-3534
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/28/2024
Last updated
12/20/2024
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