Organization
ICARE MOBILE WOUND CARE VA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN ISLAMAJ P.A. (CEO)
(855) 247-3627
Entity
Organization
Contact information
Practice address
8300 BOONE BLVD, VIENNA, VA 22182-2626
(305) 701-9901
Mailing address
8300 BOONE BLVD, VIENNA, VA 22182-2626
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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