| NPI | 1912274192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY BOLOGNESE President 301-530-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD D24234) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-17 |