| NPI | 1225102502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC P DIFAZIO President 301-309-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0062946) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-08-31 |