| NPI | 1912774423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANSFOR OLIVER CLINE-THOMAS Treasurer, Vice President 301-219-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |