| NPI | 1043378656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDEE G PETERSEN Chief Financial Officer 301-816-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 208200000X Plastic Surgery | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 103T00000X Psychologist | |
| 133N00000X Nutritionist | |
| 163WP0200X Registered Nurse, Pediatrics | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207K00000X Allergy & Immunology | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2021-05-26 |