| NPI | 1326596974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DELISTATHIS Owner/Physician 240-507-5110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D59980) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |