International Medical Center, INC

NPI #1265685515 in Springfield, Virginia

Provider Information

NPI Number: 1265685515
Entity Type: Organization
Organization Name: International Medical Center, INC
Primary Specialty: General Practice
Enumeration Date: Oct 30, 2008
Last Updated: Oct 30, 2008

Practice Location

Address: 5410 PORT ROYAL RD
Address 2: SUITE 100
City: Springfield
State: Virginia
ZIP Code: 22151-2314
Phone: (703) 642-1004

Authorized Official

Name: MS. EUN HEE LEE
Title: PRESIDENT
Phone: (703) 642-1004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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