| NPI | 1831986637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURELL VOGLEZON Billing Manager 301-332-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2025-04-23 |
| Last Update Date | 2025-04-23 |