| NPI | 1740574763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIE L BALLENGER Administrator 301-386-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |