| NPI | 1932860608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA KENNEDY Practice Administrator 301-277-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2024-02-22 |