| NPI | 1457544652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND EDWARD WATERS President 301-918-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD D06053573) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D06053573) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |