| NPI | 1477639862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY RENEE HOSE Office Manager 240-420-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D52323) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2010-02-24 |