| NPI | 1306180013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITZA YERON Office Manager 301-662-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D41717) |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |