| NPI | 1356662001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKO ANDREA BRYANT Physician 240-245-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0054820) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2010-12-07 |