| NPI | 1164604187 |
|---|---|
| Doing Business As | KRYSTAL MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | NWAEHIHIE H ONYEAGHALA President 301-486-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0053461) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: MD D0053461) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2014-08-18 |