| NPI | 1043469141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URSULA DENISE POYDRAS Physician And Surgeon 301-552-5862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0042448) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |