| NPI | 1447255609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE C EGO-OSUALA President 301-434-9147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D 47156) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: DC MD 21355) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2008-07-10 |