| NPI | 1942391693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL A DEVORE Doctor 301-454-0801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: MD D001852) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2008-04-02 |