| NPI | 1093669046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY M MORAN Practice Manager 301-681-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 176B00000X Midwife | |
| 207VF0040X Obstetrics & Gynecology Female Pelvic Medicine and Reconstructive Surgery | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 207VX0201X Obstetrics & Gynecology Gynecologic Oncology | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner Family | |
| 363LW0102X Nurse Practitioner Women's Health | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2026-02-25 |
| Last Update Date | 2026-02-25 |