Cornerstone Medical Services PC
Internal Medicine, Hospice and Palliative Medicine in Woodbridge, VA. Organization (NPI-2).
NPI number1124482773
StatusActive
Last updated in NPPESDec 5, 2016
Details
- NPI
- 1124482773
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornerstone Medical Services PC
- Organization subpart
- No
- Enumeration date
- Apr 11, 2016
- Last updated
- Dec 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | 0101250835 | VA | Yes |
Practice location
2337 Kew Gardens DrWoodbridge, VA 22191-6577
Phone 646-593-6787
Mailing address
Po Box 4212Woodbridge, VA 22194-4212
Phone 646-593-6787
Authorized official
Lily O Otolorin
Ceo
6465936787
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