| NPI | 1053622019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBAYO OLUDARA-FADARE Md 301-220-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2020-07-07 |