| NPI | 1326212911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL OLTCHICK Practice Administrator 301-279-7622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0023752) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-07-15 |