NPI | 1396491056 |
---|---|
Entity Type | Organization |
Authorized Contact | MATHIAS C BAMA Owner 301-483-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
261QU0200X Clinic/Center, Urgent Care | |
Enumeration Date | 2022-02-22 |
Last Update Date | 2023-04-06 |