NPI | 1780273839 |
---|---|
Entity Type | Organization |
Authorized Contact | HIEN QUANG NGUYEN Manager 443-553-4332 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
207QA0401X Family Medicine, Addiction Medicine | |
Enumeration Date | 2021-01-13 |
Last Update Date | 2023-09-01 |