Organization
WASHINGTON HOSPITAL CENTER
Active
Other names
Inova Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GANIYU O ADEWALE CRNP, APRN (ADULT NURSE PRACTINER)
(202) 877-6724
Entity
Organization
Contact information
Practice address
10530 ROSEHAVEN ST STE 100, FAIRFAX, VA 22030-2888
(703) 938-0363
Mailing address
6909 IRONBRIDGE LN, LAUREL, MD 20707-9500
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
07/08/2016
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