| NPI | 1356907273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN CLANCY Senior Vice President 571-366-8845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2020-02-26 |