| NPI | 1184897738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE C GONSALVES Practice Owner 301-843-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D19947) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |