| NPI | 1174793913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET REBA STEVENS ONEILL Medical Doctor 301-951-7905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0047472) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2012-01-24 |