| NPI | 1265730212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBRAMANIAN VARADARAJAN Nurse Practitioner 301-434-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: MD W13537113) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |