Organization
ANNANDALE GERONTOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIHO CHOI MD (OWNER/STAFF PHYSICIAN)
(301) 893-4124
Entity
Organization
Contact information
Practice address
4216 EVERGREEN LN STE 121, ANNANDALE, VA 22003
(301) 893-4124
(703) 662-6165
Mailing address
4216 EVERGREEN LN STE 121, ANNANDALE, VA 22003-3256
(301) 893-4124
(703) 662-6165
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
0101252858
VA
Other
Enumeration date
10/02/2017
Last updated
07/01/2020
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