| NPI | 1124160346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MENDY L HARBOUR Billing Manager 703-876-2179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME93493) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-09-27 |