| NPI | 1073639118 |
|---|---|
| Other Name | ODENTON FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL MALLER President 301-675-6589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0050612) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |