Organization
DE NOVA CLINIC PC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHER A HUTTAM M.D. (DIRECTOR)
(703) 858-9494
Entity
Organization
Contact information
Practice address
6400 ARLINGTON BLVD, SUITE 940, FALLS CHURCH, VA 22042-2325
(703) 858-9494
Mailing address
PO BOX 4495, FALLS CHURCH, VA 22044-0495
(703) 858-9494
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101241929
VA
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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