| NPI | 1407165962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQULINE S HENRIQUEZ Medical Director 240-558-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2014-04-01 |