| NPI | 1881780211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY PIMENTEL Treasurer 301-638-0186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD H0042445) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0038147) |
| 208000000X Pediatrics (Licence: MD H0048020) | |
| 207R00000X Internal Medicine (Licence: MD H0042445) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2011-03-22 |