| NPI | 1710139316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNI IMPEDUGLIA Medical Director 301-681-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0036322) |
| Enumeration Date | 2008-10-15 |
| Last Update Date | 2025-01-07 |