| NPI | 1194744359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ROBERT BUCZYNSKI President/Provider 301-334-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0061801) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MD H0064705) |
| 207V00000X Obstetrics & Gynecology (Licence: MD D0061801) | |
| 207V00000X Obstetrics & Gynecology (Licence: MD H0064705) | |
| 363A00000X Physician Assistant (Licence: MD C0001983) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-01-24 |