| NPI | 1578722831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN PETER HERSH Medical Director 301-654-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D0015224) |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2012-01-03 |