| NPI | 1841608296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRIE BALLENGER Administrator 301-423-4551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |