| NPI | 1861630261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA SAYIL COVARRUBIAS Office Administrator 301-589-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0048290) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |