NPI | 1851516462 |
---|---|
Entity Type | Organization |
Authorized Contact | TANYA C LUMPKINS Medical Director 301-891-0616 |
Organization Subpart ? | No |
Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: MD D0044321) |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: DC MD17907) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |