| NPI | 1770395840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DIXON Director, Finance 301-533-4251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |