NPI | 1144695529 |
---|---|
Entity Type | Organization |
Authorized Contact | LAVANYA SITHANANDAM Medical Director 301-891-6141 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: MD C0005854) |
Enumeration Date | 2015-12-10 |
Last Update Date | 2015-12-10 |