| NPI | 1164488300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI WEISEL Practice Administrator 240-207-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208800000X Urology |
| 213E00000X Podiatrist | |
| 207N00000X Dermatology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-01-22 |