NPI | 1548653678 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELISABETH BENJAMIN Physician/Owner 301-681-6654 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D48252) |
Enumeration Date | 2015-03-13 |
Last Update Date | 2015-03-13 |