Organization
ALLY MEDICAL GROUP, P.A. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRAINE KABAKAMA BERAHO MD (DIRECTOR)
(301) 529-4927
Entity
Organization
Contact information
Practice address
1410 SPRING HILL RD STE 305, MC LEAN, VA 22102-3020
(240) 342-2666
Mailing address
1410 SPRING HILL RD STE 305, MC LEAN, VA 22102-3020
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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