| NPI | 1730529488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICKOLAS SOUMELIDIS Family Medicine 301-401-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: FL ME103560) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2023-03-07 |