| NPI | 1134508450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALENA JEAN-SMITH Administrator 301-755-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0018019) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2016-04-01 |