| NPI | 1477269447 |
|---|---|
| Doing Business As | ICON MEDICINE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY NYAKANGO ONSERIO Clinical Director 240-966-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-12-11 |