| NPI | 1508984113 |
|---|---|
| Doing Business As | ANTIETAM GERIATRIC & INTERNAL MEDICINE CENTER |
| Entity Type | Organization |
| Authorized Contact | MANZAR J SHAFI President 301-739-4510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D28365) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: MD D0062327) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |