| NPI | 1104460773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAISHREE G MATHUR Manager 301-251-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-12-11 |