NPI | 1386131118 |
---|---|
Doing Business As | ADVANCED GENERAL PRACTICE, LLC |
Entity Type | Organization |
Authorized Contact | ISIS M DIAZ Office Manager 301-592-1780 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MH D0074695) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2021-03-31 |