| NPI | 1740833722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE FULLUM Chief Medical Officer 202-865-4132 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 2085B0100X Radiology Body Imaging | |
| 208600000X Surgery | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |