| NPI | 1194023077 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ANTHONY IKECHUKWU IBE Md 202-529-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC md30564) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |