| NPI | 1336969880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX MOHSENI President 301-706-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2025-05-08 |