Clifton Station LLC
NPI #1649419276 in Fairfax Station, Virginia
Provider Information
- NPI Number
- 1649419276
- Entity Type
- Organization
- Organization Name
- Clifton Station LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Feb 4, 2009
- Last Updated
- Sep 29, 2009
Practice Location
- Address
- 9015 SILVERBROOK RD
- Address 2
- SUITE 106
- City
- Fairfax Station
- State
- Virginia
- ZIP Code
- 22039-2683
- Phone
- (703) 495-9148
Authorized Official
- Name
- DR. BINA KOLOLGI, M.D
- Title
- DR.BINA KOLOLGI
- Phone
- (703) 495-9148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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