NPI | 1922829712 |
---|---|
Doing Business As | MONTGOMERY SPORTS MEDICINE |
Former Legal Business Name | ERAN KESSOUS, M.D, P.C |
Entity Type | Organization |
Authorized Contact | ERAN KESSOUS Owner 301-754-0505 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine |
Enumeration Date | 2024-10-23 |
Last Update Date | 2024-10-23 |