| NPI | 1477794576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE SMITH Billing Manager 301-509-4091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DC MD034563) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: DC MD034616) |
| 208000000X Pediatrics (Licence: DC MD035167) | |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |