Organization
HBOT OF NOVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL M SHOR M.D. (OWNER)
(703) 709-1119
Entity
Organization
Contact information
Practice address
1860 TOWN CENTER DR, SUITE G220, RESTON, VA 20190-5896
(703) 709-1119
Mailing address
1860 TOWN CENTER DR, SUITE G220, RESTON, VA 20190-5896
(703) 709-1119
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101036333
VA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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