| NPI | 1720277379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HONG TAN Physician 301-208-1188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: MD D0060871) |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2007-12-03 |