NPI | 1750666921 |
---|---|
Entity Type | Organization |
Authorized Contact | DANITA PATRICE WEDGE Medical Billing 301-702-0013 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD D0019511) |
Enumeration Date | 2011-10-19 |
Last Update Date | 2011-10-19 |