NPI | 1477269447 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY ONSERIO Medical Director 240-966-4266 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2023-01-24 |
Last Update Date | 2023-03-22 |