| NPI | 1093039570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AMMAAN MAJOR Doctor/Owner 301-585-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD MD64592) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DC MD036021) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2018-09-21 |