| NPI | 1669655189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE ROSE DUANE Medical Director 301-434-8985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2019-05-06 |