| NPI | 1619088341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L JONES Owner 301-907-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D20203) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MD D20303) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |