NPI | 1316515372 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP WISOTSKY Medical Director 301-870-0660 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2021-06-16 |
Last Update Date | 2021-11-22 |