| NPI | 1043725070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE GILLIS CFO 301-754-7035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2018-06-16 |