NPI | 1003006412 |
---|---|
Doing Business As | LESLIE H FENTON MD |
Entity Type | Organization |
Authorized Contact | LESLIE HOWARD FENTON Medical Doctor 301-365-0266 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC 2853) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D01254) |
207R00000X Internal Medicine (Licence: VA 0101016877) | |
Enumeration Date | 2007-08-01 |
Last Update Date | 2007-08-01 |