| NPI | 1649771106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY J MATYASIK Owner 240-964-8640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD H0053855) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |