| NPI | 1356612279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TIMM Administrator 202-641-4155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD MD20115) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-11-23 |