| NPI | 1255636858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLETTE MARTIN-DAVIS Md 301-860-0305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: MD D0050415) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |