| NPI | 1841408697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE SCIPIO ETTIENNE Medical Director 301-390-7960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MD D0046373) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2013-12-12 |