Organization
RESTON EAR NOSE AND THROAT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN J LEE M.D. (PRESIDENT)
(703) 787-3322
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DR, SUITE 335, RESTON, VA 20190-5896
(703) 787-3322
(703) 787-3380
Mailing address
1860 TOWN CENTER DR, SUITE 335, RESTON, VA 20190-5896
(703) 787-3322
(703) 787-3380
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101236481
VA
Other
Enumeration date
09/13/2006
Last updated
07/07/2010
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