| NPI | 1942501242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN H WANDER Owner 301-770-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD s01924) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: MD S0194) |
| 363L00000X Nurse Practitioner (Licence: MD S01924) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MD S01924) | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2011-01-06 |