NPI | 1508298837 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN E SWINTON Credentialing Director 301-257-2797 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD 21762) |
Enumeration Date | 2013-08-09 |
Last Update Date | 2025-07-24 |