NPI 1114220456

G&g Providers

Organisation Specialist Falls Church, VA

Practice location

Address: 2841 Hartland Road Suite 207, Falls Church, VA 22043-3500
Phone: (703) 573-1282
Fax: (703) 573-1284
Mailing address: 2841 Hartland Rd STE 207, Falls Church, VA 22043-3500

Authorised official

Name: Julio Caesar Gonzalez
Title: Owner
Phone: (703) 573-1282

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence D0029655 (MD)

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Registry record

NPI: 1114220456
Entity type: Organization
NPI issued: 8 Dec 2010
Record last updated: 8 Dec 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.