Organization
CLIFTON STATION LLC
Active
Other names
Walk-in Medical Care Fairfax Station
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BINA KOLOLGI M.D (DR.BINA KOLOLGI)
(703) 495-9148
Entity
Organization
Contact information
Practice address
9015 SILVERBROOK RD, SUITE 106, FAIRFAX STATION, VA 22039-2683
(703) 495-9148
Mailing address
9015 SILVERBROOK RD, SUITE 106, FAIRFAX STATION, VA 22039-2683
(703) 495-9148
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053083
VA
Other
Enumeration date
02/04/2009
Last updated
09/29/2009
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