| NPI | 1700680444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANA VINCENT Manager 240-424-9615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207U00000X Nuclear Medicine | |
| 2085N0904X | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-04-21 |