| NPI | 1427185784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE N VIRGO President 301-565-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D43490) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D42811) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |