| NPI | 1063785541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC J HOLZMAN Physician 202-296-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: DC MD14106) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |