| NPI | 1457626640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC AIGBEDION Medical Director 301-326-2997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0047891) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2019-01-22 |