| NPI | 1821392705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSER NAZEMZADEH Owner 301-770-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: MD 11795) |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |