| NPI | 1225157407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA MENDOZA Billing Administrator 301-681-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D18094) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2009-05-07 |