| NPI | 1851736045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L YOUNG Physician/Owner 301-989-0548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MO 2012008874) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |