NPI | 1164727392 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES G HOOK Owner 301-652-0500 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD 02194) |
Enumeration Date | 2011-01-19 |
Last Update Date | 2011-01-19 |