| NPI | 1043378656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN E SWINTON Director,Credentialing/Provider Enr 301-257-2797 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 103T00000X Psychologist |
| 133N00000X Nutritionist | |
| 163WP0200X Registered Nurse Pediatrics | |
| 207K00000X Allergy & Immunology | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208200000X Plastic Surgery | |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2025-07-24 |