NPI | 1760832042 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT M QUASHIE Owner 301-559-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD 14227) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2016-06-16 |