| NPI | 1851199590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA REPAC CFO 301-790-9351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207U00000X Nuclear Medicine | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |