Nova Wound Care, P.c.

NPI #1063816155 in Fairfax, Virginia

Provider Information

NPI Number: 1063816155
Entity Type: Organization
Organization Name: Nova Wound Care, P.c.
Primary Specialty: Family Medicine
Enumeration Date: Oct 17, 2014
Last Updated: Mar 8, 2019

Practice Location

Address: 3700 JOSEPH SIEWICK DR
Address 2: 303
City: Fairfax
State: Virginia
ZIP Code: 22033-1744
Phone: (703) 664-8025

Authorized Official

Name: TIMOTHY R LAPHAM, MD
Title: OWNER/PRESIDENT
Phone: (703) 876-2710

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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