NPI 1063734820

Morteza S. Mousavi, M.D., P.C.

Organisation Specialist Woodbridge, VA

Practice location

Address: 2296 Opitz Blvd Suite 340, Woodbridge, VA 22191-3300
Phone: (703) 878-0941
Fax: (703) 878-0857
Mailing address: 2296 Opitz Blvd. Suite 340, Woodbridge, VA 22191-3346

Authorised official

Name: Morteza S. Mousavi
Title: Owner
Phone: (703) 878-0941

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 0101033951 (VA)

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Registry record

NPI: 1063734820
Entity type: Organization
NPI issued: 22 Feb 2010
Record last updated: 1 Apr 2010

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.