Anita N. Wasan MD Plc

NPI #1487101440 in Mc Lean, Virginia

Provider Information

NPI Number: 1487101440
Entity Type: Organization
Organization Name: Anita N. Wasan MD Plc
Primary Specialty: Clinic/Center
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 8115 OLD DOMINION DR
Address 2: STE 220
City: Mc Lean
State: Virginia
ZIP Code: 22102-2325
Phone: (703) 992-7065

Authorized Official

Name: DR. ANITA N WASAN, MD
Title: OWNER
Phone: (703) 992-7065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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