EAR NOSE & THROAT SPECIALISTS OF NORTHERN VA
Organization (NPI-2)
Active
Otolaryngology
Provider Information
- NPI Number
1760588628- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 6564 LOISDALE CT STE 205, SPRINGFIELD, VA, 221501812
- Phone
- (703) 644-7800
- Fax
- (703) 644-1508
Specialties & Taxonomies
Otolaryngology
Primary License: VA #0101016929