| NPI | 1366621781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE CHRISTIANSEN Billing Manager 301-589-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0016009) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |