| NPI | 1073725776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURELL VOGLEZON Billing Dept Supervisor 301-982-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0051714) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2016-02-09 |