| NPI | 1184098634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AMMAAN MAJOR Doctor 301-585-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD D0064592) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2017-06-08 |