| NPI | 1285703082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HUESO Director Of Operations 301-251-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208600000X Surgery | |
| 2086S0129X | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2024-02-19 |