NPI | 1215051719 |
---|---|
Entity Type | Organization |
Authorized Contact | JODY ELLEN GREEN Owner 301-530-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0052444) |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: MD D0052444) |
Enumeration Date | 2007-03-19 |
Last Update Date | 2020-08-22 |