| NPI | 1487285227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKIA LEWIS Director Of Revenue Cycle Mngmnt 301-982-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 174400000X Specialist | |
| Enumeration Date | 2020-01-30 |
| Last Update Date | 2020-09-04 |