| NPI | 1396543930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA REPAC CFO 301-790-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology | |
| 208D00000X General Practice | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |