| NPI | 1669099321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WELIK CEO 301-928-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-04-29 |