| NPI | 1023873502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE CHUNG CEO 571-248-1948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| Enumeration Date | 2024-02-14 |
| Last Update Date | 2024-11-18 |