| NPI | 1659863025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UYENSA BEESE Practice Adminitrative 571-529-6805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: VA 0101247355) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2024-05-22 |