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 |