| NPI | 1477609956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES M GOLDSTEIN Executive Director 301-738-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD 16277) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |