| NPI | 1639368376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUSTAFA A HAQUE Medical Director 301-657-9876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MD D0053126) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: DC 30872) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2013-03-01 |