| NPI | 1336995760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA REPAC CFO 301-790-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-04-26 |