Organization
MEDICAL CENTER OF NORTHERN VIRGINIA
Active
Other names
Medical Center of Northern Virginia
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN GOKEL DELE (PRESIDENT)
(703) 533-0311
Entity
Organization
Contact information
Practice address
450 W BROAD ST, SUITE 420, FALLS CHURCH, VA 22046-3340
(703) 533-0311
(703) 533-0312
Mailing address
450 W BROAD ST, SUITE 420, FALLS CHURCH, VA 22046-3340
(703) 533-0311
(703) 533-0312
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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