| NPI | 1154551596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILKINSON J NINALA President 301-328-7155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2021-08-18 |