| NPI | 1942279039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE KIPPLE Office Manager 301-870-0660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D18548) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2018-06-21 |