| NPI | 1447259866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA D KJOLHEDE Hr Generalist 301-942-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: MD D0021924) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2024-05-20 |