| NPI | 1114321767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVESH DHRUVA KANJARPANE Chief Medical Officer (Cmo) 301-675-1296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine (Licence: MD D0040076) |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2024-06-13 |