| NPI | 1871637884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A WURSTER Billing Manager 301-874-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D0035965) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-08-27 |