| NPI | 1932924511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DIXON Director Of Finance 301-533-4251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |