| NPI | 1700450558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ALAN BLANK Medical Director 240-432-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2024-01-10 |