NPI | 1083012355 |
---|---|
Entity Type | Organization |
Authorized Contact | WALTER J GIBLIN Member / Owner 301-216-2983 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0042867) |
Enumeration Date | 2014-12-18 |
Last Update Date | 2014-12-18 |