| NPI | 1932379625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA ROSA Billing Manager 301-530-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: MD D27427) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2011-09-13 |