| NPI | 1548388150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A MONDINO Owner 301-567-2330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: MD D0024059) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2011-05-03 |