| NPI | 1205367463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MCCONKEY Office Manager 301-262-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |