| NPI | 1306646518 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LINDA LANGFORD Credentials Coordinator 301-907-3939 | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology | 
| Enumeration Date | 2025-03-17 | 
| Last Update Date | 2025-03-17 |