| NPI | 1912975277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY M BREITENBACH Medical Manager 301-645-6667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2008-04-10 |