| NPI | 1831589472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE CHANG Operations Manager 240-643-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-04-20 |