| 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 |