| NPI | 1023215951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSIE HOLMAN Clinical Coordinator 301-373-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2020-08-22 |