| NPI | 1962423228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ALTAMARINO-BEHNAM Administrator 301-759-3924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1363) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-05-21 |