| NPI | 1750439956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER E LAVINE Physician 202-223-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: DC MD18740) |
| Enumeration Date | 2007-01-07 |
| Last Update Date | 2020-08-22 |