| NPI | 1750696779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN EILEEN JENKINS Owner 240-460-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MD d0038258) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2010-09-03 |