| NPI | 1295217008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF MALIK Healthcare Administrator 571-239-1139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 2018-01932) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |