| NPI | 1790511061 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PAMELA MCCLAIN VP Managed Care 301-315-3430  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology | 
| Enumeration Date | 2024-09-12 | 
| Last Update Date | 2024-09-12 |