| NPI | 1174831291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE S RASHBAUM Owner 202-450-5778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: DC MD15084) |
| Additional Taxonomies | 174400000X Specialist (Licence: DC MD18133) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: DC RN1015562) | |
| Enumeration Date | 2010-09-23 |
| Last Update Date | 2010-09-23 |