| 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 |