| NPI | 1679639256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MARSTON EISENBREY President 301-843-5333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD D0017291) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: MD D16180) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |