| 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 |