| NPI | 1508092149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN THOMAS GUNNING President 240-498-7356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0062385) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: MD DOO62385) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |