| 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 |