NPI | 1225781305 |
---|---|
Doing Business As | EXCELSIOR EXPRESSCARE AND PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | WIDS ROMEUS Principal 240-486-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2022-01-30 |
Last Update Date | 2022-01-30 |