| NPI | 1679762488 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | HECTOR CASTRO ASUNCION Md 301-972-6444  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0000995)  | 
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine (Licence: MD D0000995)  | 
| 207QA0505X Family Medicine, Adult Medicine (Licence: MD D0000995)  | |
| Enumeration Date | 2007-10-17 | 
| Last Update Date | 2009-01-05 |