Individual
MR. GANIYU ADEWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-4001
(703) 776-7113
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R152787
MD
363L00000X
Nurse Practitioner
Primary
0024173701
VA
Other
Enumeration date
07/29/2016
Last updated
07/21/2022
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