| NPI | 1356522494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE JONATHAN MUSHER MUSHER President 301-986-4774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D33357) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |