NPI | 1851726343 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY D ADAMS Owner 301-770-2270 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MD 12906) |
Additional Taxonomies | 305R00000X Preferred Provider Organization (Licence: MD 12663) |
305R00000X Preferred Provider Organization (Licence: MD 13707) | |
305R00000X Preferred Provider Organization (Licence: MD 15459) | |
Enumeration Date | 2013-09-04 |
Last Update Date | 2013-09-04 |