NPI | 1811076581 |
---|---|
Doing Business As | MIRIAM MARTIN MD |
Entity Type | Organization |
Authorized Contact | MIRIAM MARTIN Owner 301-808-0341 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0040898) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: MD D0040898) |
Enumeration Date | 2006-11-03 |
Last Update Date | 2010-11-11 |