| NPI | 1174801609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T NGUYEN Sole Owner 301-974-9625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0063163) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2012-03-29 |