| NPI | 1124440359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M MORNINGSTAR Practice Administrator 301-662-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: MD D0054731) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2023-03-15 |