Organization
NOVA MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMHED MOSTAFA DPT (CEO)
(703) 401-1454
Entity
Organization
Contact information
Practice address
7010 LITTLE RIVER TPKE, STE 400, ANNANDALE, VA 22003-3241
(703) 401-1454
Mailing address
7010 LITTLE RIVER TPKE, STE 400, ANNANDALE, VA 22003-3241
(703) 401-1454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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