NPI | 1104347095 |
---|---|
Entity Type | Organization |
Authorized Contact | SHOBHA LATHA SOLOMON President 301-367-1533 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MD R120906) |
Enumeration Date | 2017-06-29 |
Last Update Date | 2020-11-23 |