| NPI | 1649550930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI IHEDIOHA Medical Director 301-860-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: MD D0047838) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2012-01-03 |