NPI 1013181791
Potomac Inova Healthcare Alliance
Practice location
- Address
- 2296 Opitz Blvd Suite 140, Woodbridge, VA 22191-3300
- Phone
- (703) 670-3349
- Fax
- (703) 580-0730
- Mailing address
- 2990 Telestar CT Suite 3pi, Falls Church, VA 22042-1207
Authorised official
- Name
- Jackie Mason
- Title
- Director
- Phone
- (703) 670-3349
Registered specialties
Radiation Oncology Clinic/Center
Primary
Registry record
- NPI
- 1013181791
- Entity type
- Organization
- NPI issued
- 15 Apr 2008
- Record last updated
- 26 Feb 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.