| NPI | 1790502458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARON L BAER Practice Administrator 240-964-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 261QR0200X Clinic/Center, Radiology | |
| Enumeration Date | 2024-09-24 |
| Last Update Date | 2024-09-24 |