| NPI | 1174681894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GERARD NEALON Vice President Secretary Treasurer 301-654-4850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-12-10 |