| NPI | 1588155733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURELL VOGLEZON Billing Manager 301-417-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |