| NPI | 1477046647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS DOMBROWSKI Physician 202-362-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: DC MD21491) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-06-12 |