Organization
NORTHERN VIRGINIA BRAIN AND SPINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANJE KIM M.D. (OWNER)
(703) 437-1160
Entity
Organization
Contact information
Practice address
46400 BENEDICT DR, SUITE 001, STERLING, VA 20164-6604
(703) 437-1160
(703) 437-1161
Mailing address
11654 PLAZA AMERICA DR, #528, RESTON, VA 20190-4700
(703) 437-1160
(703) 437-1161
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101239215
VA
Other
Enumeration date
10/25/2006
Last updated
09/03/2010
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