| NPI | 1013962836 |
|---|---|
| Former Legal Business Name | JOHN G. MAYER, MD, PHD, PC |
| Entity Type | Organization |
| Authorized Contact | STELLA HETELEKIDIS President 703-776-3731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2019-06-28 |