| NPI | 1790860898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASANT DATTA M.D. 301-739-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MD D0018019) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-08-23 |