| NPI | 1194985515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY SHERIDAN Assistant VP, Practice Mgt Services 202-269-7374 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC HFD01-0212) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC HFD01-0212) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2017-10-09 |