Organization
NTMT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASSER THIARA (CEO)
(203) 673-9656
Entity
Organization
Contact information
Practice address
8301 ARLINGTON BLVD STE 206, FAIRFAX, VA 22031-2902
(203) 673-9656
Mailing address
13890 BRADDOCK RD STE 201, CENTREVILLE, VA 20121-2437
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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