Nova Physician Wellness Center Pllc

NPI #1215307400 in Fairfax, Virginia

Provider Information

NPI Number: 1215307400
Entity Type: Organization
Organization Name: Nova Physician Wellness Center Pllc
Primary Specialty: Family Medicine
Enumeration Date: Sep 30, 2015
Last Updated: Sep 30, 2015

Practice Location

Address: 3903 FAIR RIDGE DR
Address 2: SUITE 219
City: Fairfax
State: Virginia
ZIP Code: 22033-2943
Phone: (703) 865-6490

Authorized Official

Name: ROHIT SURI, MD
Title: OWNER
Phone: (703) 865-6490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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