| NPI | 1962760959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJENDRA LOWTAN Medical Director 240-580-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: MD LC2197) |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2012-04-26 |