| NPI | 1679877559 |
|---|---|
| Doing Business As | MERITUS GYNECOLOGIC ONCOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS CHAN CFO 301-790-8102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2015-07-23 |