NPI | 1144869694 |
---|---|
Doing Business As | WONDER YEARS PEDIATRICS |
Entity Type | Organization |
Authorized Contact | SCOTT DONALD WISSMAN Owner 301-563-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-08-21 |