NPI | 1760512131 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAYAN MODARRES Clinical Pharmacist 301-897-2341 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: MD 16963) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2021-05-27 |