| NPI | 1851387641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A PIMENTEL Treasurer 301-638-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD D04258018) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |