| NPI | 1730184599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PETRICK Practice Administrator 301-468-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D0031800) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2019-06-11 |