| NPI | 1750710141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO DANIEL ZAMORA Medical Doctor/Manager 301-675-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: WV 24966) |
| Enumeration Date | 2013-11-05 |
| Last Update Date | 2014-09-23 |